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 |
|---|---|---|---|---|
| Revision of knee joint CPT 27442 | not published | not published | $903.68 – $6,335.00 | 7 |
| Revision of knee joint CPT 27443 | not published | not published | $849.36 – $6,335.00 | 7 |
| Revision of knee joint CPT 27446 | not published | not published | $1,209.72 – $5,082.00 | 6 |
| Revision of knee joint CPT 27445 | not published | not published | $1,306.31 – $4,510.00 | 6 |
| Revision of larynx CPT 31400 | not published | not published | $1,023.63 – $3,935.00 | 7 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $273.87 – $4,510.00 | 7 |
| Revision of lung CPT 32940 | not published | not published | $1,310.99 – $4,510.00 | 6 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,518.53 – $4,510.00 | 6 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,774.43 – $4,510.00 | 6 |
| Revision of neck muscle CPT 21700 | not published | not published | $386.37 – $3,935.00 | 7 |
| Revision of neck muscle CPT 21720 | not published | not published | $496.20 – $4,510.00 | 7 |
| Revision of neck muscle CPT 21725 | not published | not published | $560.78 – $4,510.00 | 7 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $577.21 – $4,510.00 | 6 |
| Revision of nose CPT 30120 | not published | not published | $447.52 – $3,886.00 | 7 |
| Revision of nose CPT 30430 | not published | not published | $881.06 – $4,510.00 | 7 |
| Revision of nose CPT 30435 | not published | not published | $1,271.29 – $6,335.00 | 7 |
| Revision of nose CPT 30450 | not published | not published | $1,533.54 – $8,785.00 | 7 |
| Revision of nose CPT 30460 | not published | not published | $834.31 – $8,785.00 | 7 |
| Revision of nose CPT 30462 | not published | not published | $1,456.46 – $11,867.00 | 7 |
| Revision of pelvis CPT 27158 | not published | not published | $1,466.60 – $4,510.00 | 6 |
| Revision of penis CPT 54300 | not published | not published | $665.82 – $4,510.00 | 7 |
| Revision of penis CPT 54304 | not published | not published | $779.04 – $4,510.00 | 7 |
| Revision of penis CPT 54420 | not published | not published | $731.08 – $5,560.00 | 7 |
| Revision of penis CPT 54430 | not published | not published | $663.77 – $4,510.00 | 6 |
| Revision of penis CPT 54435 | not published | not published | $430.81 – $5,560.00 | 7 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,954.62 – $8,785.00 | 7 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,634.52 – $4,510.00 | 6 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Revision of radius CPT 25350 | not published | not published | $695.54 – $4,510.00 | 7 |
| Revision of radius CPT 25355 | not published | not published | $795.95 – $4,510.00 | 7 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $593.12 – $3,935.00 | 7 |
| Revision of scrotum CPT 55175 | not published | not published | $375.12 – $3,886.00 | 7 |
| Revision of scrotum CPT 55180 | not published | not published | $715.02 – $3,935.00 | 7 |
| Revision of spinal shunt CPT 63744 | not published | not published | $721.60 – $7,415.00 | 7 |
| Revision of testis CPT 54660 | not published | not published | $369.23 – $3,935.00 | 7 |
| Revision of thigh muscles CPT 27430 | not published | not published | $763.87 – $5,560.00 | 7 |
| Revision of toe CPT 28312 | not published | not published | $335.36 – $4,510.00 | 7 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Revision of ulna CPT 25360 | not published | not published | $675.80 – $4,510.00 | 7 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $767.41 – $4,510.00 | 7 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $770.48 – $8,785.00 | 7 |
| Revision of upper arm CPT 24940 | not published | not published | $981.89 – $4,510.00 | 6 |
| Revision of ureter CPT 50700 | not published | not published | $962.42 – $4,510.00 | 6 |
| Revision of urethra CPT 53450 | not published | not published | $423.44 – $3,886.00 | 7 |
| Revision of urethra CPT 53460 | not published | not published | $473.92 – $2,939.00 | 6 |
| Revision of urethra CPT 57220 | not published | not published | $326.75 – $4,510.00 | 7 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,271.70 – $4,510.00 | 6 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $813.44 – $5,560.00 | 7 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $866.02 – $8,785.00 | 7 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $777.47 – $4,510.00 | 7 |
| Revision tips CPT 37183 | $19,168.44 | $34,851.70 | $418.46 – $7,425.00 | 6 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,698.08 – $4,510.00 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,836.92 – $4,510.00 | 6 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $1,217.11 – $1,217.11 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,344.52 – $11,867.00 | 6 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,306.58 – $11,867.00 | 6 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,082.36 – $8,785.00 | 7 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,149.68 – $8,785.00 | 7 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,024.12 – $41,313.00 | 6 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,474.27 – $4,510.00 | 7 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $224.97 – $11,867.00 | 6 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,124.98 – $8,785.00 | 7 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $387.69 – $7,415.00 | 7 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,232.25 – $4,510.00 | 6 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $148.75 – $3,886.00 | 7 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $130.97 – $3,886.00 | 7 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,009.00 – $7,415.00 | 6 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,834.81 – $7,415.00 | 6 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $585.24 – $5,925.00 | 6 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,863.99 – $7,415.00 | 6 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $812.43 – $5,925.00 | 6 |
| Revsc opn/prq tib/pero stent CPT 37234 | $11,503.46 | $20,915.38 | $305.91 – $13,266.00 | 5 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $0.56 – $19.71 | 3 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $549.27 – $8,785.00 | 6 |
| Rheumatoid factor qualitative CPT 86430 | $52.80 | $96.00 | $6.14 – $12.16 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $64.35 | $117.00 | $5.67 – $10.81 | 3 |
| Rh ig IV CPT 90386 | not published | not published | $10.21 – $10.21 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $30.44 – $30.44 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,026.00 – $5,560.00 | 7 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $5.77 – $9.01 | 2 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $32.36 – $47.47 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $5.84 – $54.22 | 3 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $32.74 – $153.18 | 2 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $84.49 – $84.49 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | $8,750.43 | $15,909.88 | $292.78 – $7,786.00 | 6 |
| R hrt cath chd nml nt cnj CPT 93593 | $8,750.43 | $15,909.88 | $190.14 – $7,786.00 | 6 |
| Rhythm ecg with report CPT 93040 | not published | not published | $12.90 – $12.90 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $790.93 – $8,785.00 | 7 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $59.07 – $59.07 | 1 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $12.43 – $12.43 | 1 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.19 – $0.26 | 2 |
| Right heart cath congenital CPT 93530 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Right ventric recording CPT 93603 | $4,631.97 | $8,421.77 | $74.98 – $7,786.00 | 4 |
| Rilonacept injection HCPCS J2793 | not published | not published | $26.20 – $26.20 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $4.34 – $4.34 | 1 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $220.33 – $220.33 | 1 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $119.76 – $119.76 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $3,621.41 | $6,584.38 | $426.98 – $426.98 | 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.