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 |
|---|---|---|---|---|
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $4.34 – $4.34 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $17.24 – $27.72 | 3 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $18.21 – $18.21 | 1 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $12.71 – $20.36 | 3 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $43.44 – $139.53 | 3 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $42.93 – $68.07 | 3 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $36.22 – $54.50 | 3 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $34.75 – $60.69 | 3 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $28.12 – $51.65 | 3 |
| R & l heart cath congenital CPT 93531 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| R & l heart cath congenital CPT 93532 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| R & l heart cath congenital CPT 93533 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $11,994.13 | $21,807.51 | $1,672.07 – $7,786.00 | 6 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $11,994.13 | $21,807.51 | $957.26 – $7,786.00 | 6 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,171.67 – $7,415.00 | 6 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $835.84 | $1,519.70 | $98.02 – $3,868.00 | 6 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $689.95 – $7,351.00 | 4 |
| Rmvl ext fixj sys under anes CPT 20694 | $4,804.08 | $8,734.70 | $348.67 – $3,886.00 | 7 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $378.91 – $3,935.00 | 7 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,850.70 | $5,183.10 | $235.81 – $3,886.00 | 7 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $144.85 – $3,886.00 | 7 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $684.51 – $4,510.00 | 6 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $76.63 – $1,486.00 | 3 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $912.78 – $19,373.00 | 6 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $37,848.20 | $68,814.90 | $419.56 – $19,373.00 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $52,050.00 | $94,636.37 | $436.96 – $19,373.00 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $37,848.20 | $68,814.90 | $402.81 – $19,373.00 | 7 |
| Rmvl icd pulse gen only CPT 33241 | $4,526.09 | $8,229.25 | $238.76 – $19,373.00 | 6 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $83.63 – $1,486.00 | 3 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $526.00 – $4,510.00 | 6 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $167.28 – $2,109.00 | 6 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $199.98 – $3,158.00 | 4 |
| Rmvl perm pm pulse gen CPT 33233 | $6,371.12 | $11,583.86 | $253.34 – $19,373.00 | 7 |
| Rmvl perq right heart vad CPT 33997 | $309.35 | $562.46 | $164.58 – $5,050.00 | 3 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $199.68 – $11,867.00 | 6 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $552.30 – $11,867.00 | 6 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $333.44 – $11,867.00 | 6 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $14,990.07 | $27,254.67 | $401.69 – $19,373.00 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $11,457.78 | $20,832.33 | $367.64 – $19,373.00 | 7 |
| Rmvl pq iabp CPT 33968 | not published | not published | $35.32 – $6,823.00 | 6 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $346.03 | $629.15 | $227.07 – $9,268.00 | 6 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,310.97 – $3,935.00 | 7 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $1,900.76 – $9,268.00 | 6 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Rmvl sq defib electrode CPT 33272 | $3,922.61 | $7,132.02 | $381.81 – $4,510.00 | 6 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,599.36 | $2,907.92 | $569.49 – $3,935.00 | 6 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $325.27 – $3,886.00 | 7 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $92.49 – $1,486.00 | 4 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $2,009.00 – $7,415.00 | 6 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,009.00 – $7,415.00 | 6 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,253.34 – $4,510.00 | 6 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $678.06 – $19,373.00 | 6 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $521.45 – $19,373.00 | 6 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $425.21 – $8,690.00 | 6 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $603.09 – $4,510.00 | 6 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $486.56 – $8,690.00 | 6 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $289.80 – $4,510.00 | 6 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $490.81 – $5,925.00 | 6 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $371.80 – $9,268.00 | 6 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $806.44 – $11,867.00 | 6 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $456.79 – $3,653.00 | 2 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $747.51 – $3,215.00 | 2 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $71.13 – $71.13 | 1 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.81 – $3.44 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $33.52 – $57.09 | 3 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $12.78 – $20.43 | 3 |
| Romiplostim injection HCPCS J2796 | not published | not published | $255.15 – $255.15 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $13.94 – $22.39 | 3 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.07 – $0.09 | 2 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $387.97 – $387.97 | 1 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $35.81 | 3 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $60.34 – $60.34 | 1 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $24.00 – $24.00 | 1 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $26.90 – $37.65 | 3 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $625.34 – $7,425.00 | 6 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,171.11 – $9,268.00 | 7 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $699.37 – $9,268.00 | 6 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,462.03 | $6,294.60 | $70.84 – $3,886.00 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,638.45 | $2,979.00 | $224.82 – $678.82 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,670.25 | $4,855.00 | $428.72 – $2,350.69 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,867.15 | $5,213.00 | $840.33 – $2,664.61 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,028.02 | $5,505.50 | $69.83 – $3,886.00 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | $3,788.78 | $6,888.70 | $322.96 – $4,510.00 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $355.75 – $4,510.00 | 7 |
| Rpl tun cvc wo subq port CPT 36581 | $5,057.20 | $9,194.90 | $207.15 – $3,935.00 | 7 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $33.15 – $33.15 | 1 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $33.15 – $33.15 | 1 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,036.11 – $11,867.00 | 6 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $780.15 – $7,351.00 | 6 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $755.59 – $11,867.00 | 6 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $580.30 – $22,871.00 | 6 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $346.17 – $7,351.00 | 6 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $481.74 – $11,867.00 | 6 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,255.58 – $22,871.00 | 6 |
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.