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 |
|---|---|---|---|---|
| System pacing micra av HCPCS C1786 | $6,728.92 | $12,234.40 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $3,092.17 | $5,622.12 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $456.44 | $829.90 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $70.95 | $129.00 | $16.94 – $33.10 | 3 |
| T3 (triiodothyronine) total CPT 84480 | $86.90 | $158.00 | $14.18 – $27.69 | 3 |
| T4 (thyroxine) free CPT 84439 | $84.15 | $153.00 | $9.02 – $17.57 | 3 |
| T4 (thyroxine) total CPT 84436 | $30.80 | $56.00 | $6.87 – $13.51 | 3 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.18 – $1.09 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.13 – $3.40 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.01 – $0.31 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $1.47 – $488.14 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $80.85 | $147.00 | $13.73 – $27.02 | 3 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $16.35 – $26.55 | 3 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,293.23 – $4,510.00 | 6 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $85.43 – $137.15 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $23.33 – $134.71 | 3 |
| Talymed HCPCS Q4127 | not published | not published | $127.04 – $127.04 | 1 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $0.20 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $92.61 – $3,158.00 | 4 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $75.54 – $3,158.00 | 4 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.34 – $0.34 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $661.43 – $1,482.75 | 3 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,116.75 | $7,485.00 | $2,919.60 – $5,699.30 | 3 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $1,167.29 | 3 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $0.25 – $2,902.40 | 3 |
| Tas congenital car anomal CPT 33741 | $8,795.42 | $15,991.67 | $770.05 – $6,026.00 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $138.75 – $3,868.00 | 6 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,440.35 – $9,268.00 | 6 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.21 – $0.66 | 3 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $267.51 | 3 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $41.43 – $74.75 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $10.48 – $18.68 | 2 |
| Tbs techl calculation only CPT 77091 | not published | not published | $28.56 – $159.49 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.38 – $159.49 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $195.22 | 3 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $143.55 | $261.00 | $61.98 – $120.91 | 3 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.01 – $1,335.69 | 2 |
| Tc-99m bicisate HCPCS A9557 | $748.32 | $1,360.59 | $1,128.27 – $3,630.73 | 2 |
| Tc-99m disofenin HCPCS A9510 | $90.81 | $165.11 | $0.01 – $0.01 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,716.53 – $1,748.25 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | $933.39 | $1,697.08 | $1,323.86 – $1,748.25 | 2 |
| Tc-99m gluceptate HCPCS A9550 | $235.07 | $427.40 | not published | 0 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $316.20 – $542.19 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | $251.16 | $456.66 | $95.27 – $95.27 | 1 |
| Tc-99m maa HCPCS A9540 | $288.52 | $524.59 | $30.60 – $30.60 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $114.95 | $209.00 | $56.42 – $56.42 | 1 |
| Tc-99m medronate HCPCS A9503 | $618.43 | $1,124.42 | $13.26 – $13.26 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $604.64 | $1,099.34 | $790.27 – $790.27 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $17.24 | $31.35 | $16.50 – $16.50 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $0.01 – $0.01 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $314.39 | $571.62 | $31.96 – $31.96 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $173.00 | $314.54 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $6.32 | $11.50 | $1.70 – $1.70 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $240.25 | $436.81 | $65.33 – $65.33 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $435.66 | $792.11 | $108.89 – $108.89 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $563.83 | $1,025.14 | $611.41 – $611.41 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $174.72 | $317.68 | $272.71 – $272.71 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $1,202.38 | $2,186.14 | $86.98 – $86.98 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $920.17 | $1,673.04 | $674.81 – $674.81 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $412.00 – $3,868.00 | 6 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $131.30 – $131.30 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $131.30 – $131.30 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $82.69 – $3,868.00 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $92.95 | $169.00 | $25.45 – $91.87 | 3 |
| T cells absolute cd 4 count CPT 86361 | $149.05 | $271.00 | $12.74 – $52.01 | 3 |
| T cells total count CPT 86359 | $71.50 | $130.00 | $25.45 – $73.63 | 3 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $34.14 – $34.14 | 1 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $113.78 – $113.78 | 1 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $91.02 – $91.02 | 1 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $494.58 – $4,510.00 | 6 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,117.91 – $4,510.00 | 6 |
| Team conf without pat by hc pro CPT 99368 | $121.72 | $221.30 | $37.69 – $37.69 | 1 |
| Team conf without pat by phys CPT 99367 | $135.95 | $247.19 | $57.66 – $57.66 | 1 |
| Team conf w/pat by hc prof CPT 99366 | $67.98 | $123.60 | $42.79 – $42.79 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $221.72 – $402.70 | 3 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $684.45 – $684.45 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $684.45 – $684.45 | 1 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $33.59 – $33.59 | 1 |
| Telavancin injection HCPCS J3095 | not published | not published | $2.24 – $13.19 | 3 |
| Telehealth original site facility fee HCPCS Q3014 | $48.08 | $87.41 | $26.37 – $26.37 | 1 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $131.71 – $261.86 | 2 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $71.78 – $144.43 | 2 |
| Temozolomide HCPCS J8700 | not published | not published | $0.42 – $0.84 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $12.07 – $19.27 | 3 |
| Temperature gradient studies CPT 93740 | not published | not published | $8.34 – $8.34 | 1 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,009.00 – $9,268.00 | 5 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $37.50 – $49.55 | 3 |
| Tendon lengthening CPT 26476 | not published | not published | $589.65 – $3,886.00 | 7 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $593.26 – $5,560.00 | 7 |
| Tendon shortening CPT 26477 | not published | not published | $577.63 – $3,886.00 | 7 |
| Tendon transfer with graft CPT 26492 | not published | not published | $898.42 – $4,510.00 | 7 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $8.78 – $319.47 | 3 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $3.22 – $3.22 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $632.82 – $4,510.00 | 7 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $574.77 – $4,510.00 | 7 |
| Tenolysis triceps CPT 24332 | not published | not published | $634.44 – $4,510.00 | 6 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $812.13 – $4,510.00 | 7 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $526.68 – $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.