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 |
|---|---|---|---|---|
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $585.67 – $6,969.00 | 7 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $597.27 – $6,969.00 | 7 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $553.17 – $6,969.00 | 7 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $608.94 – $6,969.00 | 7 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,079.06 – $6,969.00 | 7 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $638.27 – $6,969.00 | 7 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $36.14 – $36.14 | 1 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $31.51 – $31.51 | 1 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $29.65 – $29.65 | 1 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $25.01 – $25.01 | 1 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $45.43 – $45.43 | 1 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $76.93 – $76.93 | 1 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $45.43 – $45.43 | 1 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $42.64 – $42.64 | 1 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $59.33 – $59.33 | 1 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $67.65 – $67.65 | 1 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $29.65 – $29.65 | 1 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $36.14 – $36.14 | 1 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $9.66 – $9.66 | 1 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $36.14 – $36.14 | 1 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $25.94 – $25.94 | 1 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $62.10 – $62.10 | 1 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $116.79 – $116.79 | 1 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $385.04 – $385.04 | 1 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $38.00 – $38.00 | 1 |
| Shortening of hand tendon CPT 26479 | not published | not published | $613.87 – $3,886.00 | 7 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,304.09 – $4,510.00 | 6 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,403.31 – $4,510.00 | 6 |
| Shorten radius or ulna CPT 25390 | not published | not published | $794.86 – $4,510.00 | 7 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,043.31 – $4,510.00 | 7 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $209.73 – $209.73 | 1 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,093.87 – $6,969.00 | 7 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $246.81 – $246.81 | 1 |
| Shoulder harness HCPCS L5699 | not published | not published | $136.02 – $136.02 | 1 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $379.10 – $379.10 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,629.77 | $4,781.40 | $352.91 – $662.62 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | $2,309.45 | $4,199.00 | $290.23 – $1,287.32 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | $1,428.90 | $2,598.00 | $163.15 – $414.23 | 2 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,114.31 – $11,867.00 | 6 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,328.36 – $4,510.00 | 6 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $246.93 – $246.93 | 1 |
| Shoulder X-ray CPT 73030 | $295.35 | $537.00 | $18.58 – $145.62 | 3 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $48.62 – $48.62 | 1 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $30.59 – $30.59 | 1 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $35.58 – $35.58 | 1 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,308.16 – $4,510.00 | 6 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,308.16 – $4,510.00 | 6 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,277.71 – $4,510.00 | 6 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $1,723.08 | $3,132.88 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $435.78 | $792.33 | $73.89 – $196.15 | 3 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,405.70 – $4,510.00 | 6 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,483.98 – $4,510.00 | 6 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,503.26 – $4,510.00 | 6 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $23.65 | 3 |
| Sialography s&i CPT 70390 | not published | not published | $73.19 – $414.23 | 3 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $173.34 – $4,510.00 | 7 |
| Sickling rbc CPT 85660 | $67.65 | $123.00 | $5.51 – $10.81 | 3 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $77.95 – $2,939.00 | 7 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $148.02 – $3,886.00 | 7 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $169.36 – $3,886.00 | 7 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $95.77 – $3,886.00 | 7 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $175.32 – $5,560.00 | 6 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,326.60 | $2,412.00 | $115.02 – $3,886.00 | 7 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $169.19 – $5,560.00 | 6 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $215.54 – $5,560.00 | 6 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $146.18 – $3,886.00 | 7 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $161.37 – $2,939.00 | 7 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $245.08 – $3,886.00 | 7 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $114.67 – $3,886.00 | 7 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $17.88 – $17.88 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $120.45 – $3,886.00 | 7 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $0.27 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $412.80 – $412.80 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $108.90 – $3,868.00 | 6 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $0.19 – $228.84 | 2 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $22.78 – $196.15 | 2 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $135.11 – $135.11 | 1 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,030.60 | $3,692.00 | $137.95 – $321.39 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $1,501.50 | $2,730.00 | $108.90 – $321.39 | 2 |
| Sinus CT scan (without contrast) CPT 70486 | $660.00 | $1,200.00 | $94.89 – $196.15 | 2 |
| Sinus/juglr venogram s&i CPT 75860 | $2,111.40 | $3,838.90 | $85.79 – $5,150.99 | 3 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $366.81 – $3,935.00 | 7 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $587.70 – $5,560.00 | 7 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $494.67 – $3,935.00 | 7 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $211.40 – $211.40 | 1 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $134.97 – $134.97 | 1 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $0.01 – $102,530.16 | 3 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.48 – $1.61 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $37.95 – $193.79 | 3 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $166.57 – $166.57 | 1 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $24.08 – $24.08 | 1 |
| Skel musc relaxant 3 or more CPT 80370 | $13.75 | $25.00 | $11.62 – $11.62 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,029.29 – $5,560.00 | 7 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $5.32 – $5.32 | 1 |
| Skin Biopsy CPT 11102 | $615.45 | $1,119.00 | $243.69 – $2,109.00 | 6 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $692.94 – $4,510.00 | 7 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $116.21 – $3,886.00 | 5 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $769.06 – $4,510.00 | 7 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $759.39 – $4,510.00 | 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.