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Ssm Health Depaul Hospital St Louis

12303 Depaul Drive, Bridgeton, MO 63044 · (314) 344-6000

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5St. Louis, MO-IL metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

4,295 price rows for 69 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $67

$52
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,063

$1,931
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $858

$858
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,373

$1,019
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $74

$42
cash
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Colonoscopy with polyp removal

CPT 45385 · metro median $1,391

$1,391
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 5 lines · metro median $35

$35
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $73

$73
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $358

$358
cash
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cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $184

$184
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $187

$250
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $245

$250
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $111

$111
cash
Group psychotherapy

CPT 90853 · lowest of 12 lines · metro median $123

$123
cash
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Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $5,276

$5,276
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $46

$31
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $64

$38
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,359

$2,359
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,358

$1,316
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 3 lines · metro median $1,429

$1,429
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,481

$1,481
cash
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cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 3 lines · metro median $1,598

$1,598
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $135

$132
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $184

$184
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $218

$218
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $66

$58
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 14 lines · metro median $26

$11
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $91

$82
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $520

$520
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $31

$31
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $31

$31
cash
Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $2,869

$2,869
cash
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cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 13 lines · metro median $16

$16
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $179

$179
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $151

$151
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $235

$235
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $3,502

$3,502
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $183

$119
cash
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Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,949

$2,949
cash
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Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,565

$1,316
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,744

$1,744
cash
TSH test (thyroid)

CPT 84443 · lowest of 6 lines · metro median $26

$38
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $458

$458
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $636

$636
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $1,129

$1,129
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $710

$494
cash
Urinalysis with microscope

CPT 81001 · lowest of 3 lines · metro median $19

$19
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $358

$358
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.