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 |
|---|---|---|---|---|
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $344.06 – $344.06 | 1 |
| Tlso corset front HCPCS L0970 | not published | not published | $78.26 – $78.26 | 1 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $252.74 – $252.74 | 1 |
| Tlso full corset HCPCS L0974 | not published | not published | $130.60 – $130.60 | 1 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $267.23 – $267.23 | 1 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $267.23 – $267.23 | 1 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $339.41 – $339.41 | 1 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $339.41 – $339.41 | 1 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $468.09 – $468.09 | 1 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,181.80 – $1,181.80 | 1 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $731.49 – $731.49 | 1 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,230.82 – $1,230.82 | 1 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,262.74 – $1,262.74 | 1 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $206.13 – $206.13 | 1 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $252.74 – $252.74 | 1 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $487.25 – $4,510.00 | 7 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $2.86 – $4.40 | 2 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $0.22 – $30.08 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | $110.00 | $200.00 | $16.13 – $31.75 | 3 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $2.89 – $10.59 | 3 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $8.79 – $14.04 | 3 |
| Toe joint transfer CPT 26556 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $25.23 – $47.29 | 3 |
| Tomosynthesis breast screen bilateral CPT 77063 | not published | not published | $25.23 – $47.29 | 3 |
| Tone decay hearing test CPT 92563 | $101.53 | $184.60 | $30.48 – $30.48 | 1 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tongue base vol reduction CPT 41530 | not published | not published | $431.33 – $8,785.00 | 6 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $117.48 – $3,935.00 | 6 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tongue suspension CPT 41512 | not published | not published | $660.44 – $4,510.00 | 6 |
| Tongue to lip surgery CPT 41510 | not published | not published | $412.13 – $3,886.00 | 7 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $261.85 – $5,560.00 | 7 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $272.45 – $5,560.00 | 7 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.56 – $4.71 | 2 |
| Topotecan oral HCPCS J8705 | not published | not published | $0.42 – $231.56 | 2 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $6.80 – $64.88 | 3 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $83.43 – $83.43 | 1 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $101.90 – $101.90 | 1 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,423.22 – $4,510.00 | 6 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,749.74 – $5,082.00 | 6 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,416.25 – $5,082.00 | 6 |
| Total hysterectomy CPT 58150 | not published | not published | $1,048.59 – $4,510.00 | 6 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,415.89 – $5,082.00 | 6 |
| Total lung lavage CPT 32997 | not published | not published | $358.98 – $4,510.00 | 6 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $356.13 – $356.13 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,684.43 – $9,268.00 | 6 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,863.93 – $7,415.00 | 6 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $333.83 – $9,268.00 | 6 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $528.56 – $9,268.00 | 4 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $109.43 | 3 |
| Toxoplasma antibody igg CPT 86777 | $41.25 | $75.00 | $14.39 – $28.38 | 3 |
| Toxoplasma antibody igm CPT 86778 | $51.70 | $94.00 | $14.41 – $28.38 | 3 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $1,253.07 | 3 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $601.21 | 3 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,082.40 | $1,968.00 | $329.51 – $643.09 | 3 |
| Tpmt gene com vrnts CPT 81335 | $378.40 | $688.00 | $174.81 – $341.13 | 3 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $9.33 – $2,939.00 | 6 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $731.65 – $9,268.00 | 6 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $649.10 – $4,510.00 | 6 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $365.65 – $4,510.00 | 6 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $175.30 – $11,867.00 | 6 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $1.57 – $725.43 | 3 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $301.73 – $3,886.00 | 7 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $5.01 – $5.01 | 1 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $357.98 – $4,510.00 | 7 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,250.70 | $2,274.00 | $134.06 – $3,886.00 | 7 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,453.38 – $4,510.00 | 6 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.57 – $0.57 | 1 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $465.23 – $3,935.00 | 7 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $65.74 – $65.74 | 1 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $3.93 – $3.93 | 1 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $3.05 – $3.05 | 1 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $25.69 – $25.69 | 1 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $95.02 | $172.77 | $53.75 – $53.75 | 1 |
| Transabdom amnioinfus w/us CPT 59070 | $765.76 | $1,392.30 | $328.65 – $3,868.00 | 6 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,222.45 – $9,268.00 | 6 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,330.88 – $9,268.00 | 6 |
| Transcath biopsy CPT 37200 | $6,192.62 | $11,259.30 | $234.45 – $4,229.00 | 6 |
| Transcath closure of asd CPT 93580 | $25,587.62 | $46,522.94 | $1,030.22 – $4,975.00 | 3 |
| Transcath closure of vsd CPT 93581 | $24,787.60 | $45,068.36 | $1,408.85 – $4,975.00 | 3 |
| Transcatheter bx s&i CPT 75970 | $2,998.04 | $5,450.98 | $509.81 – $509.81 | 1 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $461.75 – $9,268.00 | 3 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $1,961.67 – $9,268.00 | 6 |
| Transcath occlusion cns CPT 61624 | $4,839.12 | $8,798.40 | $1,212.80 – $5,082.00 | 6 |
| Transcath occlusion non-cns CPT 61626 | $14,994.26 | $27,262.30 | $911.41 – $5,082.00 | 6 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | not published | not published | $560.92 – $11,867.00 | 6 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $388.58 – $4,510.00 | 6 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $6.97 – $18.24 | 3 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $5.02 – $10.14 | 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.