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 |
|---|---|---|---|---|
| Warde vitamin a CPT 84590 | $112.20 | $204.00 | $11.61 – $22.97 | 3 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $43.45 | $79.00 | $19.37 – $41.21 | 3 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $129.25 | $235.00 | $19.37 – $54.72 | 3 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $31.90 | $58.00 | $9.89 – $19.59 | 3 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $197.45 | $359.00 | $38.50 – $74.98 | 3 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $135.85 | $247.00 | $14.18 – $27.69 | 3 |
| Warde zinc CPT 84630 | $112.20 | $204.00 | $11.39 – $22.30 | 3 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $120.72 – $235.75 | 3 |
| Wash harvest stem cells CPT 38209 | not published | not published | $12.32 – $3,868.00 | 6 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.33 – $0.33 | 1 |
| Wbc automated CPT 85048 | $33.00 | $60.00 | $2.54 – $4.73 | 3 |
| Wcd device interrogate CPT 93292 | $106.54 | $193.70 | $10.87 – $10.87 | 1 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $884.55 – $4,510.00 | 6 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $733.84 – $4,510.00 | 6 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $167.07 – $5,925.00 | 6 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $166.69 – $5,925.00 | 6 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $982.92 – $5,925.00 | 6 |
| Wedging of cast CPT 29740 | not published | not published | $73.88 – $3,868.00 | 6 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $76.51 – $3,868.00 | 6 |
| Western blot test CPT 84181 | not published | not published | $17.03 – $33.10 | 3 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $5.93 – $29.73 | 3 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $1,962.16 – $1,962.16 | 1 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $150.16 – $150.16 | 1 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $301.26 – $301.26 | 1 |
| Whole blood for transfusion HCPCS P9010 | $660.55 | $1,201.00 | $44.68 – $44.68 | 1 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $407.55 | $741.00 | not published | 0 |
| Whole body photography CPT 96904 | not published | not published | $61.99 – $61.99 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,287.00 – $2,512.23 | 3 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $1,827.26 | 3 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $352.54 – $352.54 | 1 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $352.54 – $352.54 | 1 |
| Wilate injection HCPCS J7183 | not published | not published | $1.48 – $2.39 | 3 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.28 – $0.28 | 1 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $95.07 – $3,886.00 | 5 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $49.22 – $49.22 | 1 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $28.52 – $540.00 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $589.89 – $758.73 | 2 |
| Wound pouch each HCPCS A6154 | not published | not published | $12.20 – $12.20 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $668.52 | $1,215.50 | $23.66 – $23.66 | 1 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $396.82 | $721.50 | $26.56 – $26.56 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $268.84 | $488.80 | $28.44 – $28.44 | 1 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $442.58 | $804.70 | $31.38 – $31.38 | 1 |
| Wrist arthroscopy CPT 29840 | not published | not published | $468.55 – $6,969.00 | 7 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $501.79 – $6,969.00 | 7 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $509.50 – $6,969.00 | 7 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $594.32 – $6,969.00 | 7 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $536.39 – $6,969.00 | 7 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $564.71 – $6,969.00 | 7 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,227.04 – $1,227.04 | 1 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,043.26 – $1,043.26 | 1 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $526.48 – $11,867.00 | 7 |
| Wrist X-ray CPT 73110 | $315.70 | $574.00 | $25.58 – $145.62 | 3 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,661.75 – $1,661.75 | 1 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $884.70 – $11,867.00 | 6 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $807.62 – $8,690.00 | 7 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $686.21 – $8,690.00 | 6 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $718.32 – $11,867.00 | 6 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $498.93 – $498.93 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $860.17 – $8,690.00 | 6 |
| Xe133 xenon 10mci HCPCS A9558 | $213.24 | $387.70 | $247.81 – $247.81 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $3,496.35 | $6,357.00 | $650.93 – $3,935.00 | 7 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $583.96 – $4,510.00 | 7 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,784.03 | 3 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $1,784.03 | 3 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $19.91 – $25.20 | 3 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $399.18 – $9,268.00 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $364.53 – $4,510.00 | 6 |
| X-ray abdomen 1 view CPT 74018 | $245.30 | $446.00 | $17.99 – $145.62 | 3 |
| X-ray abdomen 2 views CPT 74019 | $327.80 | $596.00 | $21.51 – $196.15 | 3 |
| X-ray abdomen >=3 views CPT 74021 | $381.46 | $693.57 | $25.04 – $196.15 | 3 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $404.25 | $735.00 | $27.33 – $196.15 | 3 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $291.91 | $530.75 | $24.18 – $145.62 | 3 |
| X-ray ankle 2 views (both sides) CPT 73600 | $269.50 | $490.00 | $18.23 – $145.62 | 3 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $789.36 | $1,435.20 | $71.09 – $662.62 | 3 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $24.32 | 3 |
| X-ray bone age studies CPT 77072 | $242.55 | $441.00 | $13.33 – $196.15 | 3 |
| X-ray bone length studies CPT 77073 | $332.97 | $605.40 | $21.03 – $196.15 | 3 |
| X-ray bone survey complete CPT 77075 | $592.90 | $1,078.00 | $58.48 – $196.15 | 3 |
| X-ray bone survey infant CPT 77076 | $599.86 | $1,090.66 | $58.48 – $196.15 | 3 |
| X-ray cervical spine 2-3 views CPT 72040 | $289.85 | $527.00 | $21.03 – $145.62 | 3 |
| X-ray cervical spine 4-5 views CPT 72050 | $519.02 | $943.68 | $28.03 – $196.15 | 3 |
| X-ray cervical spine >= 6 views CPT 72052 | $521.59 | $948.35 | $36.43 – $196.15 | 3 |
| X-ray clavicle complete (both sides) CPT 73000 | $248.60 | $452.00 | $18.58 – $145.62 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $595.65 | $1,083.00 | $112.39 – $321.39 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $757.88 | $1,377.96 | $147.05 – $340.40 | 3 |
| X-ray elbow 2 views (both sides) CPT 73070 | $242.55 | $441.00 | $18.58 – $145.62 | 3 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $323.40 | $588.00 | $21.73 – $145.62 | 3 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $364.15 – $364.15 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $312.53 – $312.53 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $432.85 | $787.00 | $63.74 – $321.39 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $653.76 | $1,188.65 | $48.86 – $196.15 | 3 |
| X-ray exam entire spi 6/> vw CPT 72084 | $673.65 | $1,224.81 | $58.97 – $196.15 | 3 |
| X-ray exam of arm infant CPT 73092 | $309.88 | $563.41 | $18.58 – $196.15 | 3 |
| X-ray exam of eye sockets CPT 70200 | $392.64 | $713.89 | $27.33 – $196.15 | 3 |
| X-ray exam of femur 1 CPT 73551 | $296.45 | $539.00 | $18.86 – $145.62 | 3 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $21.03 – $145.62 | 3 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $48.69 – $414.23 | 3 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $24.18 – $196.15 | 3 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $32.93 – $869.20 | 3 |
| X-ray exam of penis CPT 74445 | not published | not published | $49.84 – $196.15 | 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.