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 |
|---|---|---|---|---|
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $896.03 – $22,871.00 | 6 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $869.77 – $11,867.00 | 6 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $647.55 – $7,351.00 | 6 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $578.96 – $11,867.00 | 6 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $426.71 – $7,351.00 | 6 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,635.22 – $4,510.00 | 6 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,052.93 – $4,510.00 | 6 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,004.06 – $4,510.00 | 6 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,471.16 – $4,510.00 | 6 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,560.38 – $4,510.00 | 6 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,743.52 – $4,510.00 | 6 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,832.19 – $4,510.00 | 6 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,532.61 – $4,510.00 | 6 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,747.65 – $4,510.00 | 6 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $702.51 – $6,335.00 | 7 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $874.69 – $6,335.00 | 7 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,164.62 – $7,415.00 | 6 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $995.70 – $4,510.00 | 6 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $892.32 – $4,510.00 | 6 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $660.13 – $11,867.00 | 7 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $783.80 – $4,510.00 | 6 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,937.19 – $4,510.00 | 6 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,476.37 – $4,510.00 | 6 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,061.61 – $4,510.00 | 7 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $590.81 – $4,510.00 | 7 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $568.93 – $5,560.00 | 7 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $386.44 – $5,560.00 | 7 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $633.85 – $11,867.00 | 7 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $428.02 – $5,560.00 | 7 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $894.61 – $4,510.00 | 6 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $1,978.00 – $4,510.00 | 5 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $170.40 – $11,867.00 | 5 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $152.05 – $11,867.00 | 6 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $751.51 – $5,560.00 | 6 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $927.43 – $11,867.00 | 6 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,834.44 – $4,510.00 | 6 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $16.68 – $16.68 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $11.58 – $11.58 | 1 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $601.68 – $6,335.00 | 7 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,955.94 – $4,510.00 | 6 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,851.22 – $4,510.00 | 6 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,917.67 – $4,510.00 | 6 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,892.92 – $4,510.00 | 6 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $375.52 – $3,935.00 | 7 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $449.32 – $498.91 | 2 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $985.16 – $4,510.00 | 7 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rsv assay w/optic CPT 87807 | $68.20 | $124.00 | $13.10 – $25.67 | 3 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $295.80 – $295.80 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $19.23 – $19.23 | 1 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $45.94 – $45.94 | 1 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $55.44 – $55.44 | 1 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $55.44 – $55.44 | 1 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $31.76 – $31.76 | 1 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $31.71 – $31.71 | 1 |
| Rubella antibody igg CPT 86762 | $168.30 | $306.00 | $14.39 – $28.38 | 3 |
| Rubeola ag if CPT 87283 | not published | not published | $16.65 – $118.89 | 3 |
| Rubeola antibody igg CPT 86765 | $154.55 | $281.00 | $12.88 – $24.99 | 3 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $643.09 | 3 |
| Russell viper venom diluted CPT 85613 | $73.15 | $133.00 | $9.58 – $18.91 | 3 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $935.51 | 2 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $152.96 – $152.96 | 1 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $42.12 – $58.48 | 3 |
| Safety plan interven HCPCS G0560 | not published | not published | $41.98 – $41.98 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $79.89 – $678.82 | 3 |
| Salivary gland imaging CPT 78230 | $442.75 | $805.00 | $153.38 – $678.82 | 3 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $105.79 – $678.82 | 3 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $25.67 | 3 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $875.91 – $4,510.00 | 6 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $122.22 – $122.22 | 1 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.01 – $0.01 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $0.01 – $99.03 | 3 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.22 – $52.46 | 2 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $187.63 – $356.01 | 3 |
| Sarscov coronavirus ag ia CPT 87426 | $41.80 | $76.00 | $36.04 – $45.36 | 2 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $107.25 | $195.00 | $71.70 – $73.62 | 2 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $450.61 – $11,867.00 | 7 |
| Sbrt management CPT 77435 | not published | not published | $640.17 – $640.17 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $144.70 – $144.70 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $137.63 – $137.63 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $69.63 – $69.63 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $92.40 – $92.40 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $45.12 – $45.12 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $82.60 – $82.60 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $946.00 | $1,720.00 | $184.88 – $430.06 | 2 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $729.30 | $1,326.00 | $121.85 – $245.09 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,177.60 | $2,141.10 | $150.23 – $291.58 | 2 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $897.32 | $1,631.50 | $94.89 – $191.73 | 2 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,088.94 | $1,979.90 | $102.95 – $205.91 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $572.00 | $1,040.00 | $97.69 – $199.83 | 2 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,570.14 | $2,854.80 | $184.88 – $416.55 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $672.82 | $1,223.30 | $127.09 – $245.09 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $569.86 | $1,036.10 | $104.00 – $205.23 | 2 |
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.