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 |
|---|---|---|---|---|
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.05 – $0.16 | 2 |
| Calcium ionized CPT 82330 | $79.75 | $145.00 | $13.68 – $27.02 | 3 |
| Calcium total CPT 82310 | $44.00 | $80.00 | $5.16 – $10.14 | 3 |
| Calculi urinary-sendout CPT 82360 | $34.10 | $62.00 | $12.87 – $24.99 | 3 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $22.30 | 3 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $4.56 – $4.56 | 1 |
| Calprotectin fecal CPT 83993 | $204.05 | $371.00 | $19.63 – $38.50 | 3 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $43.76 – $43.76 | 1 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.12 – $25.67 | 3 |
| Canakinumab injection HCPCS J0638 | not published | not published | $2.67 – $262.68 | 3 |
| Candida dna CPT 87480 | not published | not published | $20.05 – $39.18 | 3 |
| Candida skin test CPT 86485 | $62.70 | $114.00 | $24.52 – $39.18 | 3 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $140.37 – $4,510.00 | 7 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $3,886.88 | $7,067.05 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $67.31 – $1,214.57 | 3 |
| Canthotomy 67715 CPT 67715 | $1,275.38 | $2,318.88 | $109.84 – $3,886.00 | 7 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.06 – $0.07 | 3 |
| Cap nerve 2x15mm HCPCS C1763 | $196.59 | $357.44 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.93 – $6.35 | 3 |
| Capsular contracture release CPT 23020 | not published | not published | $714.41 – $3,935.00 | 7 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $264.21 – $4,510.00 | 7 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $345.45 – $4,510.00 | 7 |
| Cap trach decann 15mm HCPCS C1750 | $1,775.00 | $3,227.27 | not published | 0 |
| Carbamazepine free CPT 80157 | $51.15 | $93.00 | $13.25 – $25.67 | 3 |
| Carbamazepine free -sendout CPT 80161 | $30.25 | $55.00 | $18.64 – $36.48 | 3 |
| Carbamazepine total therapeutic drug level CPT 80156 | $72.60 | $132.00 | $14.57 – $28.38 | 3 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $3.97 – $451.89 | 3 |
| Carbohydrate deficient transf - sendout CPT 82373 | $323.40 | $588.00 | $18.06 – $35.13 | 3 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $10.81 | 3 |
| Carbon dioxide CPT 82374 | $51.15 | $93.00 | $4.39 – $9.46 | 3 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $2.45 – $4.58 | 2 |
| Carboxyhemoglobin quantitative CPT 82375 | $64.90 | $118.00 | $12.32 – $24.32 | 3 |
| Carcinoembryonic ag (cea) CPT 82378 | $135.30 | $246.00 | $18.96 – $37.15 | 3 |
| Cardiac drug stress test CPT 93024 | not published | not published | $54.31 – $54.31 | 1 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $869.20 – $869.20 | 1 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $869.20 – $869.20 | 1 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $279.03 – $869.20 | 2 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $376.77 – $2,350.69 | 3 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,411.85 | $2,567.00 | $260.52 – $2,350.69 | 3 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,293.05 | $2,351.00 | $280.15 – $2,350.69 | 3 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $234.37 | $426.12 | $14.52 – $14.52 | 1 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $9.08 – $9.08 | 1 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $146.06 – $678.82 | 3 |
| Cardiac Stress Test CPT 93015 | not published | not published | $76.60 – $76.60 | 1 |
| Cardioassist internal CPT 92970 | not published | not published | $195.36 – $3,868.00 | 3 |
| Cardiokymography HCPCS Q0035 | not published | not published | $11.92 – $11.92 | 1 |
| Cardiolipin antibody iga CPT 86147 | $57.75 | $105.00 | $25.45 – $49.99 | 3 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,956.24 | $3,556.80 | $126.30 – $3,868.00 | 3 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $274.01 – $3,868.00 | 3 |
| Card MRI veloc flow mapping CPT 75565 | $950.95 | $1,729.00 | $42.03 – $42.03 | 1 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $92.51 | $168.20 | $51.61 – $51.61 | 1 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $29.17 | $53.03 | $23.77 – $23.77 | 1 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $53.83 – $103.23 | 3 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $1,141.61 | 3 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $1,141.61 | 3 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $1.82 – $442.34 | 3 |
| Carotene CPT 82380 | $72.05 | $131.00 | $9.22 – $18.24 | 3 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,843.27 | $3,351.40 | $160.73 – $311.97 | 2 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $54.60 – $540.00 | 2 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $439.32 – $3,935.00 | 7 |
| Car seat/bed test 60 minutes CPT 94780 | $71.27 | $129.58 | $25.73 – $25.73 | 1 |
| Car seat/bed test additional 30 minutes CPT 94781 | $71.27 | $129.58 | $9.06 – $9.06 | 1 |
| Car-t admn autologous CPT 38228 | $423.28 | $769.60 | $277.06 – $2,109.00 | 3 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $94.45 – $2,147.00 | 3 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $38.10 – $2,147.00 | 3 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $38.43 – $2,147.00 | 3 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $66.03 – $4,510.00 | 6 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $1.16 – $6.57 | 2 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $2.11 – $2.11 | 1 |
| Cataract Surgery CPT 66984 | not published | not published | $649.23 – $8,690.00 | 7 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $745.15 – $8,690.00 | 7 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $23.87 – $53.36 | 3 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $99.92 | $181.68 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $3,747.79 | $6,814.16 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $2,602.68 | $4,732.15 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $1,814.55 | $3,299.18 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $3,228.22 | $5,869.50 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $3,216.40 | $5,848.00 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $10,902.65 | $19,823.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $645.64 | $1,173.90 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $3,121.80 | $5,676.00 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $5,277.67 | $9,595.76 | $793.37 – $7,786.00 | 6 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $12.32 – $12.32 | 1 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $434.57 | $790.12 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $249.51 | $453.65 | not published | 0 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $12.60 – $12.60 | 1 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $953.98 | $1,734.51 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $2,487.48 | $4,522.70 | $47.01 – $3,868.00 | 6 |
| Catheter insert artery CPT 36625 | not published | not published | $108.62 – $3,868.00 | 3 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $12.65 | $23.00 | $3.00 – $1,486.00 | 4 |
| Catheter stripping venous CPT 36595 | $4,668.95 | $8,489.00 | $195.01 – $3,868.00 | 6 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $1.71 – $1.71 | 1 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $5.46 – $5.46 | 1 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $648.01 | $1,178.20 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $1,711.67 | $3,112.12 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $138.94 | $252.62 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $2,405.20 | $4,373.10 | not published | 0 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $1.55 – $1.55 | 1 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $135.47 – $4,510.00 | 6 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $187.33 | $340.60 | $60.64 – $3,868.00 | 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.