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 |
|---|---|---|---|---|
| Streptozocin injection HCPCS J9320 | not published | not published | $36.53 – $36.53 | 1 |
| Stress test pulmonary CPT 94618 | $209.50 | $380.90 | $11.30 – $11.30 | 1 |
| Stress tte complete CPT 93351 | not published | not published | $182.09 – $182.09 | 1 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $595.13 | 3 |
| Str markers specimen anal CPT 81265 | $1,176.45 | $2,139.00 | $233.07 – $454.62 | 3 |
| St treatment speech individual CPT 92507 | $275.00 | $500.00 | $80.31 – $80.31 | 1 |
| St treatment swallow dysfunction/oral CPT 92526 | $273.35 | $497.00 | $87.02 – $87.02 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $1,482.91 | $2,696.20 | $114.62 – $3,868.00 | 6 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $406.84 – $406.84 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | $413.27 | $751.40 | $55.30 – $3,868.00 | 6 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $735.02 | $1,336.40 | $99.72 – $3,868.00 | 6 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $127.38 – $127.38 | 1 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $122.31 – $122.31 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $124.46 – $3,886.00 | 5 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $735.23 – $11,867.00 | 6 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $671.50 – $11,867.00 | 6 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $664.45 – $11,867.00 | 6 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $912.99 – $11,867.00 | 6 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,558.78 – $4,510.00 | 6 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $0.84 – $0.84 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Suction socket HCPCS L6686 | not published | not published | $430.67 – $430.67 | 1 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $318.05 – $318.05 | 1 |
| Sugars multiple quant CPT 84379 | $133.10 | $242.00 | $11.53 – $22.30 | 3 |
| Sugars single quant CPT 84378 | $251.90 | $458.00 | $11.53 – $22.30 | 3 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.06 – $0.09 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $105.60 | $192.00 | $24.08 – $24.08 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $1.13 – $1.13 | 1 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $0.30 – $0.30 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $3.27 – $3.27 | 1 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $18.90 – $18.90 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $47.17 – $47.17 | 1 |
| Supprelin la implant HCPCS J9226 | not published | not published | $0.01 – $83,513.31 | 3 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $78.69 – $78.69 | 1 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $68.54 – $68.54 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $113.06 – $3,935.00 | 7 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $835.34 – $4,510.00 | 6 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $836.18 – $4,510.00 | 6 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $439.38 – $3,935.00 | 7 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,207.20 – $4,510.00 | 6 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $687.10 – $4,510.00 | 6 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $762.20 – $4,510.00 | 6 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $959.28 – $4,510.00 | 6 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $696.66 – $4,510.00 | 6 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $909.65 – $14,718.00 | 6 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,463.12 – $4,510.00 | 6 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,132.16 – $4,510.00 | 6 |
| Surgical opening of stomach CPT 43510 | not published | not published | $992.40 – $4,510.00 | 6 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $822.40 – $4,510.00 | 6 |
| Surgical opening of throat CPT 42955 | not published | not published | $778.67 – $3,935.00 | 7 |
| Surgical pathology level 1 gross examination only CPT 88300 | $79.20 | $144.00 | $10.53 – $24.67 | 3 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $178.20 | $324.00 | $24.53 – $49.26 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $107.25 | $195.00 | $33.29 – $60.06 | 3 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $215.05 | $391.00 | $33.29 – $67.49 | 3 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $422.40 | $768.00 | $215.69 – $406.42 | 3 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $552.75 | $1,005.00 | $306.36 – $656.15 | 3 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,416.07 – $4,510.00 | 6 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,605.11 – $4,510.00 | 6 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,120.58 – $4,510.00 | 6 |
| Surgical trays HCPCS A4550 | not published | not published | $20.56 – $20.56 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $426.83 – $3,886.00 | 7 |
| Susceptibility agar dilution per agent CPT 87181 | $64.35 | $117.00 | $1.95 – $9.46 | 3 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $12.65 | $23.00 | $1.95 – $9.46 | 3 |
| Susceptibility mic per plate CPT 87186 | $100.10 | $182.00 | $8.65 – $16.89 | 3 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $12.83 | 3 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,070.93 – $4,510.00 | 6 |
| Suspension of testis CPT 54620 | not published | not published | $311.49 – $4,510.00 | 7 |
| Suspension of uterus CPT 58410 | not published | not published | $825.67 – $4,510.00 | 6 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $450.57 – $4,510.00 | 6 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $92.26 – $92.26 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,113.34 – $4,510.00 | 6 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,442.46 – $4,510.00 | 6 |
| Svc venogram s&i CPT 75827 | $2,327.32 | $4,231.50 | $80.54 – $2,531.05 | 3 |
| Sweat collection by iontophoresis CPT 89230 | $125.40 | $228.00 | $2.48 – $49.76 | 3 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,534.67 – $1,534.67 | 1 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $2,223.55 – $2,223.55 | 1 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $188.17 – $188.17 | 1 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $238.60 – $238.60 | 1 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $183.70 – $183.70 | 1 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $420.54 – $420.54 | 1 |
| Sympathectomy cervical CPT 64802 | not published | not published | $689.58 – $3,935.00 | 7 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $754.40 – $4,510.00 | 6 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $577.94 – $4,510.00 | 6 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $819.99 – $3,935.00 | 6 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,167.63 – $4,510.00 | 6 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $131.25 – $131.25 | 1 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $61.67 – $61.67 | 1 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $90.27 – $90.27 | 1 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $35.33 – $35.33 | 1 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $159.24 – $159.24 | 1 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $78.59 – $78.59 | 1 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $122.48 – $122.48 | 1 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $47.34 – $47.34 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $6.52 – $6.74 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $34.68 – $34.68 | 1 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $10.56 – $15.11 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $55.00 | $100.00 | $4.40 – $8.78 | 3 |
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.