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 |
|---|---|---|---|---|
| Scan proc cranial extra CPT 61782 | not published | not published | $185.06 – $2,109.00 | 4 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $255.45 – $2,109.00 | 4 |
| Scan proc spinal CPT 61783 | not published | not published | $251.62 – $2,109.00 | 4 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $3,257.17 – $3,257.17 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,477.48 | $4,504.50 | $129.00 – $8,785.00 | 6 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $442.61 – $11,867.00 | 7 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $14.67 – $29.73 | 3 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $32.60 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $14.67 – $62.15 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $20.26 – $85.79 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $25.54 – $52.01 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $19.10 – $52.69 | 3 |
| Screen cerv/vag thin layer HCPCS G0123 | $81.40 | $148.00 | $20.26 – $39.85 | 3 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $32.60 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $212.12 – $4,510.00 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $212.12 – $4,510.00 | 7 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $35.13 | 3 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $55.39 | 3 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $19.83 – $90.51 | 3 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $47.29 | 3 |
| Screening Mammogram CPT 77067 | not published | not published | $98.13 – $186.38 | 3 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $32.60 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $152.90 | $278.00 | $19.31 – $37.83 | 3 |
| Screen pap by tech w md supv HCPCS P3000 | $44.00 | $80.00 | $14.67 – $29.73 | 3 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $12.04 | $21.90 | $3.17 – $3.17 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,689.99 | $3,072.71 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $88.60 – $88.60 | 1 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $851.68 – $4,510.00 | 6 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $5,506.93 | $10,012.60 | $266.23 – $1,486.00 | 3 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $5.82 – $5.82 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $13.75 | $25.00 | $2.70 – $5.41 | 3 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $5.49 – $5.49 | 1 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,519.59 – $4,510.00 | 6 |
| Select picture audiometry CPT 92583 | $248.82 | $452.40 | $50.09 – $50.09 | 1 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.66 – $0.66 | 1 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $9.12 – $9.12 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $11.05 – $11.05 | 1 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $13.33 – $13.33 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $9.82 – $9.82 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $12.83 | 3 |
| Semen analysis presence/motility CPT 89321 | $93.50 | $170.00 | $12.05 – $23.65 | 3 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $16.89 | 3 |
| Sensorimotor examination CPT 92060 | $122.36 | $222.47 | $26.28 – $26.28 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $70.04 – $70.04 | 1 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $404.35 – $5,560.00 | 7 |
| Sept9 promoter methylation analysis CPT 81327 | $135.85 | $247.00 | $85.35 – $374.91 | 3 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $698.76 – $3,935.00 | 7 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $601.87 – $3,935.00 | 7 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $776.73 – $3,935.00 | 7 |
| Serial casting application 97139app CPT 97139 | not published | not published | $17.65 – $17.65 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $34.66 – $34.66 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.01 – $0.01 | 1 |
| Serpina1 gene CPT 81332 | $85.25 | $155.00 | $43.65 – $85.12 | 3 |
| Sertraline (zoloft) - sendout CPT 80332 | $114.40 | $208.00 | $24.08 – $24.08 | 1 |
| Set radiation therapy field CPT 77280 | $592.90 | $1,078.00 | $230.37 – $462.66 | 2 |
| Set radiation therapy field CPT 77285 | not published | not published | $365.49 – $776.72 | 2 |
| Set radiation therapy field CPT 77290 | $1,661.00 | $3,020.00 | $421.51 – $753.07 | 2 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $36.72 – $540.00 | 2 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $24.88 – $24.88 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.01 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.01 – $0.01 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $616.94 – $3,935.00 | 7 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,114.22 – $1,114.22 | 1 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,315.52 – $1,315.52 | 1 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,248.72 – $1,248.72 | 1 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,114.22 – $1,114.22 | 1 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,315.52 – $1,315.52 | 1 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,315.52 – $1,315.52 | 1 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,114.22 – $1,114.22 | 1 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,248.72 – $1,248.72 | 1 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $561.14 – $561.14 | 1 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $35.13 | 3 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $15.53 | 3 |
| Sex transformation f to m CPT 55980 | not published | not published | $93.25 – $4,510.00 | 5 |
| Sex transformation m to f CPT 55970 | not published | not published | $16.57 – $4,510.00 | 5 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $376.94 | 3 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $111.72 – $5,560.00 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $495.50 | $900.90 | $48.83 – $3,868.00 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $551.26 | $1,002.30 | $67.99 – $3,868.00 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $632.78 | $1,150.50 | $80.65 – $3,868.00 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $688.54 | $1,251.90 | $103.83 – $3,868.00 | 6 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $248.82 | $452.40 | $40.33 – $3,868.00 | 6 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $275.28 | $500.50 | $53.65 – $3,868.00 | 6 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $366.80 | $666.90 | $68.85 – $3,868.00 | 6 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $459.03 | $834.60 | $76.63 – $3,868.00 | 6 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $283.86 | $516.10 | $36.17 – $3,868.00 | 6 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $312.46 | $568.10 | $55.33 – $3,868.00 | 6 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $334.62 | $608.40 | $65.10 – $3,868.00 | 6 |
| Sheath above knee HCPCS L8410 | not published | not published | $15.45 – $15.45 | 1 |
| Sheath below knee HCPCS L8400 | not published | not published | $13.36 – $13.36 | 1 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,756.21 | $6,829.48 | not published | 0 |
| Sheath upper limb HCPCS L8415 | not published | not published | $17.74 – $17.74 | 1 |
| Shigella antibody CPT 86771 | not published | not published | $18.31 – $47.97 | 3 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $3,060.32 – $3,060.32 | 1 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $2,991.41 – $2,991.41 | 1 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $10,478.27 – $10,478.27 | 1 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $489.24 – $6,969.00 | 7 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $942.37 – $11,867.00 | 7 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,105.25 – $6,969.00 | 7 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $603.08 – $6,969.00 | 7 |
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.