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 |
|---|---|---|---|---|
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $217.55 – $4,510.00 | 6 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $540.00 – $4,510.00 | 5 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $22.87 – $1,486.00 | 3 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $3.79 – $3.79 | 1 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,438.24 – $4,510.00 | 6 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $0.24 – $2.51 | 2 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.02 – $0.96 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $95.15 | $173.00 | $49.76 – $172.19 | 3 |
| Bundled special stain group 2 CPT 88313 | $104.50 | $190.00 | $33.84 – $137.07 | 3 |
| Bundle his recording CPT 93600 | $4,584.92 | $8,336.21 | $87.53 – $7,786.00 | 5 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.02 | 2 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.85 – $0.85 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $4.00 – $4.00 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $7.91 – $7.91 | 1 |
| Buprenorphine and metabolite - sendout CPT 80348 | $87.45 | $159.00 | $15.85 – $15.85 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $4.80 – $7.73 | 2 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.31 – $0.31 | 1 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $2,295.76 – $3,740.46 | 3 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $2,295.76 – $3,740.46 | 3 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $801.42 – $4,510.00 | 6 |
| Burr hole implant ventricular cath/other device CPT 61210 | $5,375.37 | $9,773.40 | $400.95 – $4,510.00 | 6 |
| Burr hole skull for biopsy 61140 CPT 61140 | $3,138.85 | $5,707.00 | $1,351.30 – $4,510.00 | 6 |
| Burr hole skull & remove clot 61154 CPT 61154 | $2,549.69 | $4,635.80 | $1,358.96 – $4,510.00 | 6 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,146.44 | $7,538.98 | not published | 0 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.63 – $2.34 | 3 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $2.16 – $11.93 | 2 |
| Buttock fasciotomy CPT 27027 | not published | not published | $922.71 – $11,867.00 | 6 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,057.96 – $11,867.00 | 6 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $3,216.07 | $5,847.40 | $172.74 – $3,868.00 | 6 |
| Bx bone trocar/ndl deep CPT 20225 | $4,182.04 | $7,603.70 | $114.24 – $3,935.00 | 7 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $211.12 – $4,510.00 | 6 |
| Bx breast 1st lesion strtctc CPT 19081 | not published | not published | $175.70 – $4,510.00 | 6 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $99.16 – $2,109.00 | 4 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $87.85 – $2,109.00 | 4 |
| Bx breast add lesion Ultrasound imag CPT 19084 | not published | not published | $82.76 – $2,109.00 | 4 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $73.93 – $3,886.00 | 7 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $1,486.00 – $4,510.00 | 5 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $140.78 – $3,868.00 | 6 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $2,009.00 – $11,867.00 | 6 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $439.10 – $3,935.00 | 7 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $265.40 – $3,935.00 | 7 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,654.36 – $11,867.00 | 6 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $4,089.08 | $7,434.70 | $415.90 – $3,935.00 | 7 |
| Bx liver with other CPT 47001 | not published | not published | $110.01 – $3,868.00 | 4 |
| Bx muscle CPT 20200 | $2,781.35 | $5,057.00 | $99.98 – $3,935.00 | 7 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $137.38 – $3,935.00 | 7 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $230.20 – $3,935.00 | 7 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $168.02 – $4,510.00 | 6 |
| Bx pancreas pq ndl CPT 48102 | $1,892.60 | $3,441.10 | $256.45 – $3,886.00 | 7 |
| Bx perianal mass CPT 46999 | not published | not published | $1,486.00 – $4,510.00 | 5 |
| Bx pleura pq ndl CPT 32400 | $1,892.60 | $3,441.10 | $92.28 – $3,886.00 | 7 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $386.05 – $4,510.00 | 7 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $368.27 – $3,935.00 | 7 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $172.40 – $3,868.00 | 6 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $573.43 | $1,042.60 | $540.00 – $2,109.00 | 4 |
| Bx skin punch ea sep/ addl les CPT 11105 | $473.33 | $860.60 | $40.17 – $2,109.00 | 4 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $511.94 | $930.80 | $236.86 – $2,109.00 | 4 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $168.69 – $3,868.00 | 6 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,537.25 | $2,795.00 | $207.34 – $3,886.00 | 7 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $713.44 – $3,935.00 | 7 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $4,087.66 | $7,432.10 | $367.54 – $3,935.00 | 7 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $2,722.72 | $4,950.40 | $164.98 – $3,868.00 | 6 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $282.57 – $3,886.00 | 7 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $183.05 – $3,886.00 | 7 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,718.86 | $3,125.20 | $83.53 – $3,868.00 | 6 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $69.68 – $3,868.00 | 6 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,016.02 | $1,847.30 | $62.76 – $3,886.00 | 7 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $30.49 – $3,886.00 | 5 |
| Bypass temp external fem-fem CPT 37799 | $1,225.64 | $2,228.44 | $3,868.00 – $13,266.00 | 5 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $43.18 – $140.72 | 3 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $76.35 – $121.74 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $216.70 | $394.00 | $12.00 – $23.65 | 3 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $263.78 – $421.60 | 3 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $1.81 – $1.81 | 1 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $1,977.41 – $4,510.00 | 6 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $559.98 – $4,510.00 | 6 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $199.16 – $4,510.00 | 6 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $437.75 – $4,510.00 | 6 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $578.56 – $4,510.00 | 6 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $693.53 – $4,510.00 | 6 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $779.24 – $4,510.00 | 6 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $891.18 – $4,510.00 | 6 |
| Cable cath 22-pin diag HCPCS C1730 | $693.12 | $1,260.22 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $27.45 – $43.87 | 3 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $1,651.63 | 3 |
| Cadd pump refill CPT 96521 | $534.82 | $972.40 | $136.35 – $136.35 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $1.41 – $1.41 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $0.95 – $152.25 | 2 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $0.01 – $1,884.98 | 2 |
| Calcium 24 hour urine CPT 82340 | $36.85 | $67.00 | $6.03 – $11.49 | 3 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.01 – $0.01 | 1 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | not published | not published | $0.03 – $0.03 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.05 – $0.07 | 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.