SSM Health Cardinal Glennon Children's Hospital
1465 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1508935891
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $183.15 | $333.00 | $29.28 – $57.42 | 3 |
| 17-hydroxypregnenolone CPT 84143 | $104.50 | $190.00 | $19.10 – $44.58 | 3 |
| 17-ketosteroids CPT 83586 | $53.90 | $98.00 | $12.80 – $24.99 | 3 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $101.47 – $101.47 | 1 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $938.91 – $938.91 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $36.64 | 2 |
| 24 hr ambulatory b/p monitor CPT 93786 | $215.93 | $392.60 | $29.43 – $29.43 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,545.40 | $4,628.00 | $684.45 – $684.45 | 1 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $463.18 – $463.18 | 1 |
| 2nd order venous cath CPT 36012 | $1,694.86 | $3,081.56 | $185.28 – $3,868.00 | 4 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $158.49 – $158.49 | 1 |
| 3d ech img cgen car anomal CPT 93319 | $130.90 | $238.00 | $25.42 – $25.42 | 1 |
| 3-d radiotherapy plan CPT 77295 | $4,331.25 | $7,875.00 | $261.28 – $497.43 | 2 |
| 3d recon without postprocess indpndt CPT 76376 | $965.25 | $1,755.00 | $12.63 – $12.63 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $15.40 | $28.00 | $11.15 – $21.61 | 3 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $53.90 | $98.00 | $19.19 – $37.83 | 3 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $34.31 | $62.39 | $78.69 – $78.69 | 1 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $34.31 | $62.39 | $84.14 – $84.14 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $34.31 | $62.39 | $89.20 – $89.20 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $34.31 | $62.39 | $71.80 – $71.80 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $34.31 | $62.39 | $78.69 – $78.69 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $34.31 | $62.39 | $78.69 – $78.69 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $34.31 | $62.39 | $89.20 – $89.20 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $105.53 – $105.53 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $1.52 – $81.82 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $57.75 | $105.00 | $12.01 – $23.65 | 3 |
| Abciximab injection HCPCS J0130 | not published | not published | $0.01 – $0.01 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $4,042.61 | $7,350.20 | $80.54 – $5,150.99 | 3 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,257.96 – $4,510.00 | 6 |
| Abd/low ext cath 1st CPT 36245 | $1,813.96 | $3,298.10 | $268.63 – $3,868.00 | 4 |
| Abd/low ext cath 2nd CPT 36246 | $1,430.00 | $2,600.00 | $287.21 – $3,868.00 | 4 |
| Abd/low ext cath 3rd CPT 36247 | $2,202.92 | $4,005.30 | $339.56 – $3,868.00 | 4 |
| Abd/low ext cath addl CPT 36248 | $1,236.95 | $2,249.00 | $52.38 – $3,868.00 | 4 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,002.00 | $3,640.00 | $187.66 – $321.39 | 2 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,501.50 | $2,730.00 | $162.81 – $321.39 | 2 |
| Abdominal CT scan (without contrast) CPT 74150 | $858.00 | $1,560.00 | $87.89 – $196.15 | 2 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,192.75 | $5,805.00 | $384.42 – $662.62 | 2 |
| Abdominal MRI (with contrast) CPT 74182 | $2,309.45 | $4,199.00 | $359.91 – $662.62 | 2 |
| Abdominal MRI (without contrast) CPT 74181 | $1,528.45 | $2,779.00 | $253.82 – $414.23 | 2 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,788.93 | $3,252.60 | $114.40 – $3,886.00 | 7 |
| Abdominal Ultrasound (complete) CPT 76700 | $699.05 | $1,271.00 | $81.24 – $196.15 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $558.80 | $1,016.00 | $61.29 – $196.15 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,213.84 – $4,510.00 | 7 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,873.30 | $3,406.00 | $78.45 – $3,886.00 | 7 |
| Abl1 gene CPT 81170 | $791.45 | $1,439.00 | $300.00 – $585.67 | 3 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $384.38 – $4,382.00 | 4 |
| Ablate arrhythmia add on CPT 93655 | $1,022.87 | $1,859.76 | $446.66 – $6,976.00 | 4 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,435.23 – $4,510.00 | 6 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $694.16 – $4,510.00 | 6 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,958.62 – $4,510.00 | 6 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $8,625.04 | $15,681.90 | $412.97 – $4,510.00 | 6 |
| Ablate bone tumor(s) perq CPT 20982 | $12,365.92 | $22,483.50 | $399.56 – $4,510.00 | 6 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $634.99 – $7,786.00 | 5 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $195.01 – $3,886.00 | 7 |
| Ablate inf turbinate superf 30801 CPT 30801 | $2,698.41 | $4,906.20 | $139.16 – $3,886.00 | 7 |
| Ablate pulm tumor perq crybl CPT 32994 | $7,362.36 | $13,386.10 | $511.56 – $4,510.00 | 6 |
| Ablate pulm tumor perq rf CPT 32998 | $5,535.53 | $10,064.60 | $301.79 – $11,867.00 | 6 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $2,688.40 | $4,888.00 | $540.00 – $540.00 | 1 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $1,486.00 – $4,510.00 | 5 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $1,486.00 – $4,510.00 | 5 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $540.00 – $4,510.00 | 5 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $7,362.36 | $13,386.10 | $502.96 – $11,867.00 | 6 |
| Ablation cryo retro lymph node CPT 38999 | $1,095.38 | $1,991.60 | $540.00 – $4,510.00 | 5 |
| Ablation cryo thigh/knee CPT 27599 | $394.68 | $717.60 | $540.00 – $4,510.00 | 5 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,380.66 | $2,510.30 | $540.00 – $4,510.00 | 5 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,486.00 – $4,382.00 | 4 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,001.20 – $11,867.00 | 5 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $7.64 – $16.23 | 3 |
| Abortion CPT 59850 | not published | not published | $359.80 – $3,935.00 | 6 |
| Abortion (mpr) CPT 59866 | not published | not published | $225.03 – $3,868.00 | 6 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $17.75 – $540.00 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $138.77 – $3,868.00 | 6 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,370.80 | $7,946.90 | $225.16 – $11,867.00 | 6 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $137.23 – $9,268.00 | 4 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $313.35 – $3,868.00 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.01 – $0.11 | 2 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $75.09 | $136.52 | not published | 0 |
| Acetaminophen level CPT 80143 | not published | not published | $18.64 – $36.48 | 3 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $20.01 – $36.81 | 2 |
| Acetone qualitative CPT 82009 | $61.60 | $112.00 | $4.52 – $8.78 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $13.75 | $25.00 | $12.05 – $12.29 | 2 |
| Acetylcholinesterase assay CPT 82013 | $128.70 | $234.00 | $12.29 – $24.32 | 3 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.06 – $0.71 | 2 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $2.32 – $16.06 | 2 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $88.94 – $540.00 | 2 |
| Acne surgery 10040 CPT 10040 | $358.93 | $652.60 | $89.90 – $3,868.00 | 6 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $174.20 – $174.20 | 1 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $117.56 – $117.56 | 1 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $33.34 – $33.34 | 1 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $28.48 – $28.48 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $26.81 – $26.81 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $53.26 – $53.26 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $155.48 – $155.48 | 1 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $9.77 – $9.77 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $55.06 | $100.10 | $15.50 – $15.50 | 1 |
| Acoustic immitance testing CPT 92570 | $192.34 | $349.70 | $30.37 – $30.37 | 1 |
| Acoustic refl threshold tst CPT 92568 | $149.44 | $271.70 | $15.56 – $15.56 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.