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 |
|---|---|---|---|---|
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $115.75 – $3,886.00 | 5 |
| Skin test unlisted antigen ea CPT 86486 | $18.15 | $33.00 | $4.93 – $24.67 | 3 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $982.48 – $982.48 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $341.13 | 3 |
| Sleep study attended CPT 95807 | $1,763.40 | $3,206.19 | $400.97 – $400.97 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $2,948.55 | $5,361.00 | $492.42 – $492.42 | 1 |
| Sleep study unattended CPT 95806 | $901.18 | $1,638.50 | $105.74 – $105.74 | 1 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $141.50 – $141.50 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $8.71 – $8.71 | 1 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $82.37 – $82.37 | 1 |
| Slitting of prepuce CPT 54000 | not published | not published | $111.60 – $3,935.00 | 7 |
| Slitting of prepuce CPT 54001 | $3,376.23 | $6,138.60 | $143.69 – $3,935.00 | 7 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $34.08 – $34.08 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $92.12 – $92.12 | 1 |
| Slp pure tone screening CPT 92551 | $94.38 | $171.60 | $11.92 – $11.92 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $41.68 – $41.68 | 1 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $73.98 – $73.98 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $7,119.60 – $16,608.54 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $16.16 – $33.10 | 3 |
| Small bowel endoscopy CPT 44360 | not published | not published | $160.97 – $3,935.00 | 7 |
| Small bowel endoscopy CPT 44364 | not published | not published | $226.97 – $3,935.00 | 7 |
| Small bowel endoscopy CPT 44366 | not published | not published | $266.52 – $3,935.00 | 7 |
| Small bowel endoscopy CPT 44369 | not published | not published | $272.68 – $3,935.00 | 7 |
| Small bowel endoscopy CPT 44376 | not published | not published | $312.31 – $3,935.00 | 7 |
| Small bowel endoscopy CPT 44378 | not published | not published | $423.24 – $3,935.00 | 7 |
| Small bowel endoscopy CPT 44382 | not published | not published | $84.12 – $3,886.00 | 7 |
| Small bowel endoscopy CPT 44384 | not published | not published | $165.85 – $5,560.00 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $212.91 – $3,935.00 | 7 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $197.52 – $3,935.00 | 7 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $177.67 – $3,935.00 | 7 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $330.79 – $3,935.00 | 7 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $70.73 – $3,886.00 | 7 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $95.10 – $5,560.00 | 6 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $294.65 – $11,867.00 | 7 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.02 – $275.40 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $63.25 | $115.00 | $5.39 – $10.81 | 3 |
| Smear gram stain CPT 87205 | $38.50 | $70.00 | $4.27 – $8.10 | 3 |
| Smear nasal eosinophil CPT 89190 | $46.75 | $85.00 | $5.79 – $11.49 | 3 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $35.20 | $64.00 | $5.99 – $11.49 | 3 |
| Smear wet mount CPT 87210 | $106.70 | $194.00 | $5.82 – $11.49 | 3 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $588.38 | 3 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $361.39 | 3 |
| Smpd1 gene common variants CPT 81330 | $245.30 | $446.00 | $47.00 – $91.87 | 3 |
| Snrpn/ube3a gene CPT 81331 | $701.80 | $1,276.00 | $51.07 – $99.98 | 3 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $783.93 – $783.93 | 1 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $597.54 – $597.54 | 1 |
| Socket insert above knee HCPCS L5658 | not published | not published | $319.35 – $319.35 | 1 |
| Socket insert below knee HCPCS L5655 | not published | not published | $193.49 – $193.49 | 1 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $306.63 – $306.63 | 1 |
| Socket insert symes HCPCS L5654 | not published | not published | $258.60 – $258.60 | 1 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $455.38 – $455.38 | 1 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $546.47 – $546.47 | 1 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $21.91 – $21.91 | 1 |
| Sock wool above knee HCPCS L8430 | not published | not published | $17.82 – $17.82 | 1 |
| Sodium 24 hour urine CPT 84300 | $34.10 | $62.00 | $4.79 – $10.14 | 3 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $0.01 – $3.62 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.60 – $2.34 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.82 – $1.20 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.15 – $0.15 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $0.01 – $3.75 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $7.08 – $132.68 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $30.80 | $56.00 | $4.81 – $9.46 | 3 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.79 – $0.79 | 1 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $59.46 – $59.46 | 1 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,372.35 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,219.87 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,354.61 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,067.38 | 2 |
| Solid skin barrier HCPCS A4362 | not published | not published | $2.95 – $2.95 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $6.32 – $6.32 | 1 |
| Somatosensory testing CPT 95927 | not published | not published | $123.27 – $123.27 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $0.31 – $80.72 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $3,049.64 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $914.90 | 2 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $0.55 – $37.59 | 2 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $116.37 – $116.37 | 1 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $11.84 – $11.84 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $178.38 – $7,415.00 | 4 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $197.88 – $7,415.00 | 4 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $123.85 – $12,115.00 | 5 |
| Special casting material HCPCS A4590 | not published | not published | $27.17 – $27.17 | 1 |
| Special physics consult CPT 77370 | $1,870.00 | $3,400.00 | $114.58 – $250.19 | 2 |
| Special pump services CPT 99190 | not published | not published | $439.45 – $439.45 | 1 |
| Special pump services CPT 99191 | not published | not published | $307.61 – $307.61 | 1 |
| Special pump services CPT 99192 | not published | not published | $220.09 – $220.09 | 1 |
| Special radiation dosimetry CPT 77331 | $360.80 | $656.00 | $18.58 – $37.10 | 2 |
| Special radiation treatment CPT 77470 | $2,300.10 | $4,182.00 | $46.61 – $57.36 | 2 |
| Special teletx port plan CPT 77321 | not published | not published | $42.39 – $86.40 | 2 |
| Specific gravity body fluid CPT 84315 | $29.15 | $53.00 | $3.28 – $6.08 | 3 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $11.49 | 3 |
| Speech audiometry complete CPT 92556 | $82.22 | $149.50 | $36.78 – $36.78 | 1 |
| Speech evaluation complex CPT 70371 | $572.20 | $1,040.36 | $46.59 – $414.23 | 3 |
| Speech recep thresh CPT 92555 | $94.38 | $171.60 | $22.78 – $22.78 | 1 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $20.94 | 3 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $38.50 | 3 |
| Sperm identification CPT 89257 | not published | not published | $49.76 – $65.98 | 2 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.76 – $65.98 | 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.