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 |
|---|---|---|---|---|
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $2,009.00 – $22,871.00 | 5 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $3,653.00 – $22,871.00 | 6 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $3,653.00 – $22,871.00 | 5 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $2,009.00 – $22,871.00 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,036.00 – $22,871.00 | 5 |
| Unlisted laps px renal CPT 50549 | not published | not published | $2,009.00 – $22,871.00 | 5 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $2,009.00 – $22,871.00 | 5 |
| Unlisted laps px testis CPT 54699 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $2,009.00 – $22,871.00 | 5 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $2,009.00 – $22,871.00 | 5 |
| Unlisted maaa CPT 81599 | not published | not published | $466.72 – $466.72 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted misc path test CPT 89240 | not published | not published | $49.76 – $65.98 | 2 |
| Unlisted mr procedure CPT 76498 | $3,232.52 | $5,877.30 | $145.62 – $279.03 | 2 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $678.82 – $743.28 | 2 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $678.82 – $743.28 | 2 |
| Unlisted orl service/px CPT 92700 | $68.96 | $125.39 | not published | 0 |
| Unlisted procedure colon CPT 45399 | $2,750.60 | $5,001.10 | $1,486.00 – $6,335.00 | 5 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $1,486.00 – $4,510.00 | 5 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted procedure liver CPT 47399 | not published | not published | $1,716.00 – $4,510.00 | 5 |
| Unlisted procedure microbiology CPT 87999 | $1,957.45 | $3,559.00 | $45.98 – $45.98 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $1,716.00 – $4,510.00 | 5 |
| Unlisted procedure rectum CPT 45999 | $1,109.68 | $2,017.60 | $1,716.00 – $4,510.00 | 5 |
| Unlisted procedure spine CPT 22899 | $3,519.94 | $6,399.90 | $1,486.00 – $7,415.00 | 5 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $938.19 – $4,510.00 | 6 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px ant segment eye CPT 66999 | $2,934.95 | $5,336.27 | $1,486.00 – $4,510.00 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $1,486.00 – $6,969.00 | 5 |
| Unlisted px biliary tract CPT 47999 | $3,297.58 | $5,995.60 | $2,009.00 – $4,510.00 | 5 |
| Unlisted px casting/strpg CPT 29799 | $486.92 | $885.30 | $412.00 – $3,868.00 | 3 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $1,716.00 – $4,510.00 | 5 |
| Unlisted px external ear CPT 69399 | not published | not published | $412.00 – $3,868.00 | 5 |
| Unlisted px extraocular musc CPT 67399 | $310.72 | $564.94 | $540.00 – $4,510.00 | 5 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px inner ear CPT 69949 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $250.19 – $250.19 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px pelvis/hip joint CPT 27299 | $409.70 | $744.90 | $540.00 – $4,510.00 | 5 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px small intestine CPT 44799 | $3,379.80 | $6,145.10 | $1,486.00 – $4,510.00 | 5 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $250.19 – $250.19 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | $249.54 | $453.70 | $540.00 – $4,510.00 | 5 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $540.00 – $4,510.00 | 5 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.76 – $49.76 | 1 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $678.82 – $743.28 | 2 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.76 – $65.98 | 2 |
| Unlisted transfusion med px CPT 86999 | $153.45 | $279.00 | $24.67 – $32.80 | 2 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $145.62 – $159.49 | 2 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $45.98 – $45.98 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $1,716.00 – $4,510.00 | 5 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $678.82 – $743.28 | 2 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $2,009.00 – $22,871.00 | 5 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,801.80 | $3,276.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $24,352.29 | $44,276.89 | $512.09 – $19,373.00 | 6 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,181.75 | $5,785.00 | $258.75 – $662.62 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,445.30 | $4,446.00 | $226.17 – $662.62 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,410.75 | $2,565.00 | $145.30 – $414.23 | 2 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $138.18 – $2,939.00 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $155.21 – $3,935.00 | 7 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $260.60 – $260.60 | 1 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $272.47 – $4,510.00 | 6 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $155.56 – $3,935.00 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $659.89 – $5,560.00 | 7 |
| Urea nitrogen CPT 84520 | $53.90 | $98.00 | $3.95 – $7.43 | 3 |
| Urea nitrogen 24 hour urine CPT 84540 | $37.40 | $68.00 | $4.79 – $10.81 | 3 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $14.18 | 3 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $10.14 | 3 |
| Ureteral embolization/occl CPT 50705 | $4,233.52 | $7,697.30 | $211.53 – $2,109.00 | 4 |
| Ureteral reflux study CPT 78740 | $779.90 | $1,418.00 | $194.36 – $678.82 | 3 |
| Ureter endoscopy CPT 50970 | not published | not published | $388.03 – $3,886.00 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $369.08 – $3,886.00 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $494.16 – $3,886.00 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $374.94 – $3,886.00 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $371.24 – $3,886.00 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $332.37 – $3,886.00 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $487.24 – $3,886.00 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $373.12 – $3,886.00 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,155.68 – $4,510.00 | 6 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,177.38 – $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.