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 |
|---|---|---|---|---|
| Chemotx admn pertl cav impl CPT 96446 | $456.17 | $829.40 | $30.39 – $30.39 | 1 |
| Chest 2 vws w oblique CPT 71048 | $270.98 | $492.70 | $25.39 – $196.15 | 3 |
| Chest apical lordotic proj CPT 71047 | $262.40 | $477.10 | $24.69 – $145.62 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,002.00 | $3,640.00 | $200.96 – $321.39 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $1,501.50 | $2,730.00 | $162.81 – $321.39 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $660.00 | $1,200.00 | $116.94 – $196.15 | 2 |
| Chest X-ray CPT 71046 | $201.85 | $367.00 | $19.40 – $145.62 | 3 |
| Chest X-ray (single view) CPT 71045 | $175.45 | $319.00 | $10.60 – $145.62 | 3 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $27.57 – $27.57 | 1 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $73.77 – $321.39 | 3 |
| Chimerism anal no cell selec CPT 81267 | $619.85 | $1,127.00 | $207.46 – $404.63 | 3 |
| Chimerism anal w/cell select CPT 81268 | $722.70 | $1,314.00 | $260.79 – $509.34 | 3 |
| Chlamydia culture CPT 87110 | $181.50 | $330.00 | $19.60 – $38.50 | 3 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $23.65 | 3 |
| Chlamydia type CPT 87140 | $37.40 | $68.00 | $5.57 – $10.81 | 3 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $42.52 – $42.52 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $5.28 – $5.28 | 1 |
| Chloride CPT 82435 | $37.40 | $68.00 | $4.60 – $8.78 | 3 |
| Chloride 24 hour urine CPT 82436 | $34.10 | $62.00 | $5.75 – $11.49 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.05 – $0.07 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.36 – $1.08 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $46.90 – $73.17 | 2 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $2.34 – $46.87 | 2 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.36 – $0.36 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $145.72 – $145.72 | 1 |
| Cholangiogram percutaneous compl CPT 47532 | $4,140.56 | $7,528.30 | $226.81 – $11,867.00 | 6 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $517.25 | $940.46 | $34.21 – $34.21 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,333.87 – $4,510.00 | 6 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,178.23 – $4,510.00 | 6 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,210.75 – $4,510.00 | 6 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,712.56 | $8,568.30 | $345.81 – $4,510.00 | 6 |
| Cholesterol CPT 82465 | $51.70 | $94.00 | $4.35 – $8.78 | 3 |
| Cholesterol body fluid CPT 84999 | $112.75 | $205.00 | $45.98 – $45.98 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $57.75 | $105.00 | $13.39 – $26.34 | 3 |
| Choline c-11 HCPCS A9515 | not published | not published | $3,403.85 – $5,100.00 | 2 |
| Cholinesterase CPT 82480 | $92.40 | $168.00 | $7.87 – $15.53 | 3 |
| Cholinesterase challenge CPT 95857 | not published | not published | $30.01 – $30.01 | 1 |
| Chorion biopsy CPT 59015 | $1,009.58 | $1,835.60 | $139.89 – $3,868.00 | 6 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $20.34 – $34.20 | 2 |
| Chrom analysis CPT 88273 | $124.30 | $226.00 | $34.81 – $68.23 | 3 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $27.22 – $76.33 | 3 |
| Chromatography CPT 83021 | $77.00 | $140.00 | $18.06 – $35.13 | 3 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $22.97 | 3 |
| Chromo high res and frag x - sendout CPT 81243 | $328.35 | $597.00 | $57.04 – $111.46 | 3 |
| Chromosome analys amniotic CPT 88269 | $171.75 | $312.27 | $173.66 – $339.11 | 3 |
| Chromosome analysis 100 CPT 88249 | $514.25 | $935.00 | $173.17 – $337.76 | 3 |
| Chromosome analysis 15-20 cell count CPT 88262 | $642.95 | $1,169.00 | $125.49 – $245.21 | 3 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $337.76 | 3 |
| Chromosome analysis 45 CPT 88263 | $584.10 | $1,062.00 | $150.29 – $293.18 | 3 |
| Chromosome analysis 5 CPT 88261 | $550.00 | $1,000.00 | $245.34 – $516.09 | 3 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $337.76 | 3 |
| Chromosome analys placenta CPT 88267 | $1,877.15 | $3,413.00 | $188.57 – $368.16 | 3 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $133.75 | 3 |
| Chromosome count additional CPT 88285 | $73.15 | $133.00 | $26.38 – $52.69 | 3 |
| Chromosome karyotype study CPT 88280 | $173.25 | $315.00 | $33.47 – $65.52 | 3 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $66.88 | 3 |
| Chronic urticaria - sendout CPT 86343 | $72.05 | $131.00 | $12.46 – $24.32 | 3 |
| Chylomicron screen, bf - sendout CPT 82664 | $305.80 | $556.00 | $47.69 – $120.24 | 3 |
| Cidofovir injection HCPCS J0740 | not published | not published | $8.26 – $1,013.38 | 3 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $3.07 – $19.01 | 2 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $398.70 – $3,935.00 | 7 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.01 – $1,049,686.89 | 3 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.02 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $69.34 – $196.51 | 3 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $35.92 – $35.92 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $2.69 – $5.38 | 2 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.88 – $28.88 | 1 |
| Circum 28 days or older CPT 54161 | $2,394.70 | $4,354.00 | $203.86 – $3,935.00 | 7 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $3,276.13 | $5,956.60 | $149.84 – $3,935.00 | 7 |
| Circumcision (newborn) CPT 54150 | $3,400.65 | $6,183.00 | $102.09 – $3,886.00 | 7 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.26 – $4.26 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $763.40 | $1,388.00 | $329.51 – $643.09 | 3 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $11.30 – $19.81 | 3 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $1,470.32 | $2,673.31 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $604.09 – $6,335.00 | 7 |
| Claviculectomy total CPT 23125 | not published | not published | $736.61 – $6,335.00 | 7 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $140.89 – $4,510.00 | 6 |
| Clearance of airways CPT 31720 | $213.07 | $387.40 | $53.44 – $3,886.00 | 7 |
| Clearance of tear duct CPT 68530 | $628.06 | $1,141.92 | $262.01 – $3,868.00 | 6 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $48.51 – $48.51 | 1 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $22.13 – $22.13 | 1 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $33.72 – $33.72 | 1 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $22.47 – $22.47 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.94 – $3.39 | 2 |
| Clip ligating vesolock lg HCPCS C1760 | $1,239.11 | $2,252.93 | not published | 0 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $109.09 | $198.34 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,176.53 – $4,510.00 | 6 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $199.09 – $199.09 | 1 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $7.77 – $17.10 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $20.52 – $33.70 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $559.84 | $1,017.90 | $350.97 – $3,868.00 | 6 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,647.36 | $2,995.20 | $403.49 – $3,886.00 | 7 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,855.42 | $3,373.50 | $786.17 – $4,510.00 | 6 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $412.00 – $3,868.00 | 6 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,376.38 | $2,502.50 | $435.84 – $3,935.00 | 7 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $687.83 | $1,250.60 | $312.31 – $2,939.00 | 6 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,447.16 | $2,631.20 | $463.89 – $3,886.00 | 7 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $113.37 – $3,868.00 | 6 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $650.92 – $8,785.00 | 7 |
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.