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 |
|---|---|---|---|---|
| Tte w or without fol w/cont, com HCPCS C8921 | $2,049.90 | $3,727.10 | $684.45 – $684.45 | 1 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $463.18 – $463.18 | 1 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $374.01 – $22,871.00 | 7 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $9.60 – $9.60 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $177.97 | $323.58 | $39.95 – $39.95 | 1 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $5.03 – $5.03 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $40.32 – $40.32 | 1 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.05 – $0.05 | 1 |
| Tubular dressing HCPCS A6457 | not published | not published | $0.97 – $0.97 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $74.71 – $3,868.00 | 6 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,182.18 – $4,510.00 | 6 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,087.01 – $4,510.00 | 6 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $343.63 – $343.63 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | $19,990.22 | $36,345.85 | $1,194.38 – $6,976.00 | 4 |
| Tx closed distal humerus fx CPT 24999 | $406.12 | $738.40 | $540.00 – $4,510.00 | 5 |
| Tx closed hip disl traumatic without anes CPT 27250 | $665.66 | $1,210.30 | $191.00 – $3,886.00 | 7 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,043.32 | $7,351.50 | $599.31 – $3,886.00 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $632.78 | $1,150.50 | $325.41 – $3,886.00 | 7 |
| Tx contour defects >10.0 cc CPT 11954 | $918.06 | $1,669.20 | $119.72 – $3,868.00 | 6 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $642.78 | $1,168.70 | $77.76 – $3,868.00 | 6 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $872.27 – $4,510.00 | 6 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $925.11 – $4,510.00 | 6 |
| Tx l/r atrial fib addl CPT 93657 | $851.24 | $1,547.70 | $446.31 – $6,976.00 | 4 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $4,449.44 | $8,089.90 | $763.96 – $6,335.00 | 7 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $5,505.50 | $10,010.00 | $513.75 – $5,560.00 | 7 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $561.19 – $3,935.00 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $488.20 – $5,560.00 | 7 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $661.78 – $5,560.00 | 7 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $6,709.56 | $12,199.20 | $613.71 – $5,560.00 | 7 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $457.49 – $4,510.00 | 6 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $596.31 | $1,084.20 | $196.98 – $3,868.00 | 6 |
| Tympanic membrane repair CPT 69610 | $3,233.23 | $5,878.60 | $302.77 – $4,510.00 | 7 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $559.71 – $3,886.00 | 7 |
| Tympanometry & reflex thresh CPT 92550 | $258.12 | $469.30 | $21.26 – $21.26 | 1 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $1,142.57 | $2,077.40 | $136.55 – $3,886.00 | 7 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,446.20 – $8,785.00 | 7 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,269.22 – $8,785.00 | 7 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $341.13 | 3 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $108.80 – $108.80 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $376.94 | 3 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $8.10 | 3 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $17.44 – $131.25 | 3 |
| Ue triple control harness HCPCS L6677 | not published | not published | $216.57 – $216.57 | 1 |
| Ugt1a1 gene analy common variants CPT 81350 | $495.55 | $901.00 | $234.00 – $456.65 | 3 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | not published | not published | $65.55 – $196.15 | 3 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $4.22 – $196.15 | 3 |
| Ultrasound breast complete CPT 76641 | $911.62 | $1,657.50 | $70.39 – $196.15 | 3 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $490.49 | $891.80 | $53.93 – $145.62 | 3 |
| Ultrasound chest CPT 76604 | $749.32 | $1,362.40 | $59.89 – $196.15 | 3 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $368.22 | $669.50 | $21.38 – $196.15 | 3 |
| Ultrasound dx ophth b-scan CPT 76512 | $338.20 | $614.90 | $35.06 – $196.15 | 3 |
| Ultrasound elastography ea l target les CPT 76983 | $153.01 | $278.20 | $33.49 – $33.49 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $270.98 | $492.70 | $77.24 – $196.15 | 3 |
| Ultrasound encephalogram CPT 76506 | $807.24 | $1,467.70 | $85.44 – $196.15 | 3 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $951.66 | $1,730.30 | $116.94 – $230.90 | 3 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $540.10 | $982.00 | $48.69 – $196.15 | 3 |
| Ultrasound guidance for vascular access CPT 76937 | $689.98 | $1,254.50 | $17.18 – $17.18 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $453.20 | $824.00 | $26.63 – $26.63 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $479.76 | $872.30 | $75.71 – $75.71 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | $544.12 | $989.30 | $75.71 – $75.71 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $560.56 | $1,019.20 | $89.29 – $208.62 | 3 |
| Ultrasound infant hips ltd without stress CPT 76886 | $500.50 | $910.00 | $74.24 – $145.62 | 3 |
| Ultrasound joint complete left CPT 76881 | $437.58 | $795.60 | $57.36 – $196.15 | 3 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $463.10 | $842.00 | $11.23 – $196.15 | 3 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $14.66 – $192.38 | 2 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $737.16 | $1,340.30 | $43.44 – $43.44 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $528.38 | $960.70 | $22.43 – $22.43 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $913.00 | $1,660.00 | $82.31 – $414.23 | 3 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $516.45 | $939.00 | $70.39 – $196.15 | 3 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $559.90 | $1,018.00 | $50.78 – $196.15 | 3 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $473.00 | $860.00 | $58.14 – $196.15 | 3 |
| Ultrasound prostate/transrectal CPT 76872 | $629.20 | $1,144.00 | $59.19 – $348.45 | 3 |
| Ultrasound retroperitoneal limited CPT 76775 | $600.60 | $1,092.00 | $28.38 – $196.15 | 3 |
| Ultrasound scrotum and contents CPT 76870 | $556.60 | $1,012.00 | $34.68 – $196.15 | 3 |
| Ultrasound spinal canal and contents CPT 76800 | $925.21 | $1,682.20 | $79.84 – $196.15 | 3 |
| Ultrasound transabd ea addl gest CPT 76812 | $925.21 | $1,682.20 | $112.05 – $112.05 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $576.40 | $1,048.00 | $86.14 – $196.15 | 3 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $484.77 | $881.40 | $242.60 – $449.10 | 3 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $389.68 | $708.50 | $176.99 – $176.99 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.51 – $7.51 | 1 |
| Umbilical artery cath newborn 36660 CPT 36660 | $260.26 | $473.20 | $63.85 – $4,510.00 | 6 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $487.28 – $3,868.00 | 6 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $320.98 – $3,886.00 | 5 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $11,757.60 – $11,757.60 | 1 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.36 – $0.36 | 1 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted CT procedure CPT 76497 | not published | not published | $57.79 – $145.62 | 2 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $678.82 – $743.28 | 2 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.76 – $65.98 | 2 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $49.76 – $65.98 | 2 |
| Unlisted dx gi procedure CPT 91299 | $649.22 | $1,180.40 | $540.00 – $540.00 | 1 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $678.82 – $743.28 | 2 |
| Unlisted fetal invas px w/us CPT 59897 | $1,910.48 | $3,473.60 | $540.00 – $4,510.00 | 5 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $74.55 – $155.45 | 3 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $678.82 – $743.28 | 2 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $678.82 – $743.28 | 2 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $45.98 – $45.98 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $540.00 – $5,545.00 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $2,009.00 – $22,871.00 | 6 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $2,009.00 – $22,871.00 | 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.