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 |
|---|---|---|---|---|
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $161.32 – $3,935.00 | 7 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $316.41 – $4,510.00 | 7 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $602.97 – $3,935.00 | 7 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $304.48 – $3,935.00 | 7 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $105.03 – $3,868.00 | 6 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $516.94 | $939.90 | $215.65 – $3,868.00 | 6 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $806.56 – $3,935.00 | 7 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $663.52 | $1,206.40 | $174.17 – $3,868.00 | 6 |
| Close mastoid fistula CPT 69700 | not published | not published | $707.29 – $4,510.00 | 7 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $718.25 – $4,510.00 | 6 |
| Close tear duct opening CPT 68760 | not published | not published | $148.17 – $3,868.00 | 6 |
| Close tear duct opening CPT 68761 | not published | not published | $120.52 – $3,868.00 | 6 |
| Close tear system fistula CPT 68770 | not published | not published | $638.71 – $5,560.00 | 7 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $31.07 | 3 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,217.22 | $4,031.30 | $157.44 – $3,935.00 | 7 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $911.66 – $4,510.00 | 6 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,686.29 – $4,510.00 | 6 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,069.37 – $4,510.00 | 6 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,473.94 – $4,510.00 | 6 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,407.84 | $2,559.70 | $234.91 – $3,886.00 | 7 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $99.10 – $3,886.00 | 7 |
| Closure of salivary fistula CPT 42600 | not published | not published | $363.24 – $3,886.00 | 7 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $338.56 – $3,886.00 | 7 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $1,716.00 – $4,510.00 | 5 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $37.15 | 3 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $19.37 – $39.85 | 3 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $37.15 | 3 |
| Clot factor xii hageman CPT 85280 | $261.25 | $475.00 | $19.35 – $37.83 | 3 |
| Clot factor xiii fibrin scrn CPT 85291 | $118.80 | $216.00 | $9.11 – $17.57 | 3 |
| Clot factor xiii fibrin stab CPT 85290 | $152.90 | $278.00 | $16.34 – $31.75 | 3 |
| Clotting assay whole blood CPT 85396 | $286.00 | $520.00 | $19.89 – $25.65 | 3 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.66 – $0.66 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $686.40 | $1,248.00 | $293.58 – $3,886.00 | 7 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $662.09 | $1,203.80 | $306.39 – $3,886.00 | 7 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $737.16 | $1,340.30 | $312.78 – $3,868.00 | 6 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $239.55 – $3,886.00 | 7 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $232.84 – $3,886.00 | 7 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,034.18 | $3,698.50 | $340.77 – $3,886.00 | 7 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $225.16 – $3,886.00 | 7 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $192.37 – $3,868.00 | 6 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $526.96 | $958.10 | $186.77 – $3,886.00 | 7 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,285.57 | $2,337.40 | $394.88 – $3,886.00 | 7 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $943.08 | $1,714.70 | $310.13 – $3,886.00 | 7 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $578.44 | $1,051.70 | $97.14 – $3,868.00 | 6 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $4,234.23 | $7,698.60 | $796.15 – $3,935.00 | 7 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $501.05 – $4,510.00 | 7 |
| Clsd tx fracture of radius 25500 CPT 25500 | $632.78 | $1,150.50 | $254.34 – $3,868.00 | 6 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $622.76 | $1,132.30 | $128.34 – $3,868.00 | 6 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $792.22 | $1,440.40 | $147.23 – $3,868.00 | 6 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $652.80 | $1,186.90 | $314.62 – $3,868.00 | 6 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,902.18 | $5,276.70 | $526.11 – $4,510.00 | 7 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $632.78 | $1,150.50 | $254.99 – $3,868.00 | 6 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,438.86 | $4,434.30 | $482.93 – $3,935.00 | 7 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $712.14 | $1,294.80 | $261.71 – $2,939.00 | 6 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $409.22 – $3,886.00 | 7 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $632.78 | $1,150.50 | $351.29 – $3,886.00 | 7 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $624.91 | $1,136.20 | $332.83 – $3,886.00 | 7 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $353.69 – $4,510.00 | 6 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $512.17 – $4,510.00 | 7 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $619.90 | $1,127.10 | $218.23 – $3,868.00 | 6 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $753.61 | $1,370.20 | $280.59 – $3,868.00 | 6 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $762.90 | $1,387.10 | $298.36 – $3,935.00 | 7 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $470.92 – $3,935.00 | 7 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $642.78 | $1,168.70 | $234.50 – $3,868.00 | 6 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $529.10 | $962.00 | $209.25 – $3,868.00 | 6 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,165.25 | $5,755.00 | $140.37 – $3,935.00 | 7 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,698.41 | $4,906.20 | $298.99 – $3,935.00 | 7 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,651.65 | $3,003.00 | $339.84 – $3,886.00 | 7 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $635.64 | $1,155.70 | $300.86 – $3,886.00 | 7 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $120.41 – $2,939.00 | 5 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $308.91 – $2,939.00 | 5 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,849.99 | $5,181.80 | $402.92 – $3,886.00 | 7 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $612.76 | $1,114.10 | $186.73 – $3,868.00 | 6 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $964.54 | $1,753.70 | $243.61 – $3,868.00 | 6 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,638.35 | $4,797.00 | $404.62 – $3,886.00 | 7 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $243.44 – $3,886.00 | 7 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,398.54 | $2,542.80 | $405.19 – $3,935.00 | 7 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,445.73 | $2,628.60 | $517.99 – $3,935.00 | 7 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,934.08 | $3,516.50 | $412.49 – $3,886.00 | 7 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $337.39 – $3,886.00 | 7 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $632.78 | $1,150.50 | $33.44 – $3,886.00 | 7 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $596.31 | $1,084.20 | $91.81 – $3,868.00 | 6 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $707.14 | $1,285.70 | $293.83 – $3,886.00 | 7 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,376.38 | $2,502.50 | $446.01 – $3,886.00 | 7 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $632.78 | $1,150.50 | $240.69 – $3,868.00 | 6 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $293.13 – $3,886.00 | 7 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $596.31 | $1,084.20 | $285.36 – $3,868.00 | 6 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $722.15 | $1,313.00 | $280.99 – $3,868.00 | 6 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $480.88 – $3,935.00 | 7 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $712.14 | $1,294.80 | $304.97 – $3,868.00 | 6 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $632.78 | $1,150.50 | $267.19 – $3,886.00 | 7 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $1,802.52 | $3,277.30 | $372.36 – $3,935.00 | 7 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,182.61 | $2,150.20 | $446.97 – $3,935.00 | 7 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,992.70 | $3,623.10 | $363.10 – $3,935.00 | 7 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $729.30 | $1,326.00 | $291.52 – $3,886.00 | 7 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,445.73 | $2,628.60 | $518.31 – $3,886.00 | 7 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $662.09 | $1,203.80 | $311.37 – $3,886.00 | 7 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,449.30 | $2,635.10 | $495.61 – $3,886.00 | 7 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $7,153.58 | $13,006.50 | $807.72 – $4,510.00 | 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.