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 |
|---|---|---|---|---|
| Tenotomy hip flexor open CPT 27005 | not published | not published | $752.32 – $4,510.00 | 6 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $300.40 – $3,935.00 | 7 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $251.66 – $4,510.00 | 6 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $2,332.31 – $2,332.31 | 1 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $24.47 – $24.47 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $3.18 – $13.71 | 2 |
| Teriparatide injection HCPCS J3110 | not published | not published | $3.22 – $3.22 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $2,984.91 – $2,984.91 | 1 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $2,305.10 – $2,305.10 | 1 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,002.89 – $1,002.89 | 1 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $722.22 – $722.22 | 1 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,075.08 – $1,075.08 | 1 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $297.80 – $297.80 | 1 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $317.55 – $317.55 | 1 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $246.88 – $246.88 | 1 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $148.50 – $148.50 | 1 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $489.45 – $489.45 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $361.39 | 3 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $11.49 | 3 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $11.49 | 3 |
| Test for urine cystines CPT 82615 | $34.10 | $62.00 | $9.55 – $18.91 | 3 |
| Testicular imaging w/vasc flow CPT 78761 | $643.50 | $1,170.00 | $178.26 – $678.82 | 3 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $0.22 – $0.22 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $100.65 | 3 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $0.07 – $3.84 | 3 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $33.84 – $73.90 | 2 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $189.93 – $189.93 | 1 |
| Test socket above knee HCPCS L5624 | not published | not published | $265.22 – $265.22 | 1 |
| Test socket below knee HCPCS L5620 | not published | not published | $206.47 – $206.47 | 1 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $369.17 – $369.17 | 1 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $355.68 – $355.68 | 1 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $266.03 – $266.03 | 1 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $254.28 – $254.28 | 1 |
| Test socket symes HCPCS L5618 | not published | not published | $216.98 – $216.98 | 1 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $175.77 – $175.77 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $800.80 | $1,456.00 | $38.89 – $38.89 | 1 |
| Test urine for lactose CPT 83633 | not published | not published | $7.63 – $22.30 | 3 |
| Test urine for porphyrins CPT 84119 | not published | not published | $11.96 – $26.34 | 3 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $8.78 | 3 |
| Tetanus ig im CPT 90389 | not published | not published | $662.15 – $662.15 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $0.01 – $1,100.02 | 3 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $0.01 – $33.41 | 3 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $267.51 | 3 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $774.80 | 2 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $2,978.28 | 2 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $609.93 | 2 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $149.16 – $198.02 | 2 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $149.16 – $198.02 | 2 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $149.16 – $198.02 | 2 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.76 – $65.98 | 2 |
| Thaw preserved stem cells CPT 38208 | $731.50 | $1,330.00 | $29.00 – $3,868.00 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $143.00 | $260.00 | $14.14 – $27.69 | 3 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $10.18 – $10.18 | 1 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $72.06 – $72.06 | 1 |
| Therapy activation ipnss CPT 93150 | not published | not published | $41.00 – $41.00 | 1 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $47.30 | $86.00 | $33.13 – $33.13 | 1 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $69.36 | $126.10 | $27.73 – $27.73 | 1 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $132.69 – $540.00 | 2 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $125.85 – $5,560.00 | 7 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $1,051.05 | $1,911.00 | $99.80 – $327.57 | 3 |
| Ther/proph/diag inj ia CPT 96373 | $201.90 | $367.09 | $19.56 – $19.56 | 1 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $168.22 – $168.22 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $114.83 – $114.83 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $77.09 – $77.09 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $2.08 – $3.37 | 2 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $196.65 – $196.65 | 1 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $289.49 – $289.49 | 1 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $176.83 – $176.83 | 1 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $216.53 – $216.53 | 1 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $43.14 – $43.14 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $365.89 – $527.78 | 2 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,603.95 – $9,268.00 | 6 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,723.64 – $9,268.00 | 6 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $120.08 – $120.08 | 1 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $118.69 – $118.69 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,845.42 | $3,355.30 | $118.75 – $2,939.00 | 6 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $127.62 – $127.62 | 1 |
| Thoracic duct procedure CPT 38380 | not published | not published | $582.16 – $4,510.00 | 6 |
| Thoracic duct procedure CPT 38381 | not published | not published | $845.35 – $4,510.00 | 6 |
| Thoracic duct procedure CPT 38382 | not published | not published | $711.25 – $4,510.00 | 6 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $3,440.43 – $3,440.43 | 1 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $229.07 – $4,510.00 | 6 |
| Thoracic pad HCPCS L1060 | not published | not published | $67.38 – $67.38 | 1 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,309.62 – $4,510.00 | 6 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,697.27 – $5,925.00 | 6 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $325.83 – $4,510.00 | 6 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,608.02 – $5,925.00 | 6 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $229.80 – $5,925.00 | 6 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,891.48 – $5,925.00 | 6 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,157.44 – $5,082.00 | 6 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,421.59 – $5,925.00 | 6 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,117.06 – $4,510.00 | 6 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $1,007.27 – $5,082.00 | 6 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $699.77 – $5,082.00 | 6 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,206.46 – $4,510.00 | 6 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $898.36 – $15,748.00 | 6 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,755.14 – $5,082.00 | 6 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $488.44 – $4,510.00 | 6 |
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.