SSM Health St Mary's Hospital - St Louis
SSM Health St. Mary's Hospital - St. Louis charges 3.0x the Medicare reimbursement rate across 43 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in Missouri.
Saint Louis, MO 63117 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
3x
Charge / Medicare rate
Max markup
4.4x
Worst procedure
Procedures analyzed
43
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,703 | $13,351 | — | 4.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $42,569 | $21,284 | — | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $74,994 | $37,497 | — | 4.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $25,323 | $12,661 | — | 4.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $36,988 | $18,494 | — | 4x |
| HYPERTENSION WITHOUT MCC | 305 | $23,927 | $11,964 | — | 4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $97,321 | $48,661 | — | 3.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $57,586 | $28,793 | — | 3.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,625 | $11,812 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $30,093 | $15,047 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $45,033 | $22,517 | — | 3.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $27,845 | $13,923 | — | 3.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $126,235 | $63,118 | — | 3.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $137,146 | $68,573 | — | 3.2x |
| SEIZURES WITH MCC | 100 | $51,231 | $25,615 | — | 3.2x |
| RENAL FAILURE WITH MCC | 682 | $75,710 | $37,855 | — | 3.1x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $87,711 | $43,855 | — | 3.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $28,445 | $14,223 | — | 3x |
| CELLULITIS WITHOUT MCC | 603 | $20,565 | $10,282 | — | 3x |
| RENAL FAILURE WITH CC | 683 | $21,834 | $10,917 | — | 3x |
| SYNCOPE AND COLLAPSE | 312 | $22,083 | $11,041 | — | 3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $27,167 | $13,583 | — | 3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $48,820 | $24,410 | — | 3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $22,552 | $11,276 | — | 2.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $31,705 | $15,852 | — | 2.9x |
| DIABETES WITH CC | 638 | $20,986 | $10,493 | — | 2.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $19,423 | $9,711 | — | 2.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,902 | $9,451 | — | 2.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $35,269 | $17,635 | — | 2.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $38,735 | $19,368 | — | 2.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $27,850 | $13,925 | — | 2.6x |
| DIABETES WITH MCC | 637 | $29,786 | $14,893 | — | 2.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $26,840 | $13,420 | — | 2.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $55,500 | $27,750 | — | 2.4x |
| SEIZURES WITHOUT MCC | 101 | $19,633 | $9,816 | — | 2.4x |
| CHEST PAIN | 313 | $15,565 | $7,782 | — | 2.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $19,506 | $9,753 | — | 2.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $19,578 | $9,789 | — | 2.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,128 | $12,064 | — | 2.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $24,313 | $12,156 | — | 2.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $33,441 | $16,721 | — | 2.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $34,588 | $17,294 | — | 2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $21,820 | $10,910 | — | 1.8x |
How SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use