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 |
|---|---|---|---|---|
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $696.48 – $5,560.00 | 7 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $3,032.32 | $5,513.30 | $480.40 – $4,510.00 | 6 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $714.43 – $5,560.00 | 7 |
| Cltx post ankle fx CPT 27767 | $270.98 | $492.70 | $288.41 – $2,939.00 | 6 |
| Cltx post ankle fx w/mnpj CPT 27768 | $4,957.81 | $9,014.20 | $454.45 – $2,939.00 | 6 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $385.56 – $3,886.00 | 7 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $365.02 – $3,886.00 | 7 |
| Cltx thigh fx CPT 27267 | $2,127.84 | $3,868.80 | $447.00 – $2,939.00 | 6 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $605.73 – $3,935.00 | 7 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $858.49 – $6,335.00 | 7 |
| C motor evoked lwr limbs CPT 95929 | $1,202.63 | $2,186.60 | $177.53 – $177.53 | 1 |
| C motor evoked uppr limbs CPT 95928 | $1,202.63 | $2,186.60 | $176.13 – $176.13 | 1 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,084.22 | $3,789.50 | $375.69 – $375.69 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | $119.40 | $217.10 | $15.42 – $15.42 | 1 |
| Cmptr ophth img optic nerve CPT 92133 | $270.27 | $491.40 | $15.78 – $15.78 | 1 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $6.71 – $27.69 | 3 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $16.89 | 3 |
| #cmvcul-virus inoculation shell CPT 87254 | $157.85 | $287.00 | $19.56 – $38.50 | 3 |
| Cmv pcr-sendout CPT 87496 | $355.85 | $647.00 | $35.09 – $68.23 | 3 |
| Co2 monitor per day CPT 94681 | $943.80 | $1,716.00 | $43.08 – $43.08 | 1 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $3.08 – $4.93 | 3 |
| Coagulation time activated teg CPT 85347 | $36.85 | $67.00 | $4.28 – $8.10 | 3 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.87 – $8.78 | 3 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.56 – $1.56 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | $368.04 | $669.16 | $121.13 – $121.13 | 1 |
| Cochlear implt f/up exam 7/> CPT 92603 | $409.01 | $743.65 | $124.72 – $124.72 | 1 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.01 – $0.01 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $15.53 | 3 |
| Cold agglutinin titer CPT 86157 | $104.50 | $190.00 | $8.06 – $15.53 | 3 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,748.78 – $4,510.00 | 6 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,962.86 – $4,510.00 | 6 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,409.61 – $4,510.00 | 6 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,742.89 – $4,510.00 | 6 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,304.07 – $4,510.00 | 6 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,915.91 – $4,510.00 | 6 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,860.65 – $4,510.00 | 6 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $13.23 – $24.23 | 2 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $13.39 – $140.80 | 3 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $24.23 – $24.23 | 1 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $58.44 – $58.44 | 1 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $87.91 – $87.91 | 1 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $98.13 – $98.13 | 1 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $431.39 – $431.39 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $212.36 | $386.10 | $23.13 – $2,109.00 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $143.72 | $261.30 | $25.93 – $2,109.00 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $14.30 | $26.00 | $3.00 – $3.90 | 3 |
| Colon motility 6 hr study CPT 91117 | $704.28 | $1,280.50 | $145.20 – $540.00 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $224.21 – $3,935.00 | 7 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $274.01 – $5,560.00 | 6 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $281.28 – $3,935.00 | 7 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $260.80 – $3,886.00 | 7 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $233.50 – $3,886.00 | 7 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $227.56 – $3,886.00 | 7 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $326.56 – $5,560.00 | 6 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $266.36 – $3,886.00 | 7 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $253.89 – $3,935.00 | 7 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $173.89 – $2,939.00 | 7 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $292.88 – $5,560.00 | 7 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $275.39 – $3,935.00 | 7 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $255.01 – $5,560.00 | 6 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $340.18 – $3,935.00 | 7 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $251.75 – $5,560.00 | 6 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $200.01 – $5,560.00 | 6 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $305.35 – $3,935.00 | 7 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $388.82 – $3,935.00 | 7 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $313.43 – $5,560.00 | 6 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $281.91 – $3,935.00 | 7 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $188.09 – $5,560.00 | 6 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $262.59 – $5,560.00 | 6 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $268.05 – $3,935.00 | 7 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $191.93 – $2,939.00 | 7 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $318.13 – $3,935.00 | 7 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $298.42 – $5,560.00 | 6 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $358.06 – $5,560.00 | 6 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $284.24 – $5,560.00 | 6 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $249.21 – $5,560.00 | 6 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,260.82 – $4,510.00 | 6 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,036.05 – $4,510.00 | 6 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $83.45 – $3,935.00 | 7 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $522.86 – $4,510.00 | 6 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $983.78 – $4,510.00 | 6 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $513.45 – $4,510.00 | 6 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $709.53 – $4,510.00 | 6 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $2,624.00 – $3,166.00 | 2 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,963.96 | $7,207.20 | $310.42 – $3,886.00 | 7 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $129.12 – $3,868.00 | 6 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $194.82 – $3,935.00 | 7 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $275.55 | $501.00 | $95.43 – $3,868.00 | 6 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $89.90 – $3,868.00 | 6 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $120.05 – $3,868.00 | 6 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $474.65 | $863.00 | $114.94 – $3,868.00 | 6 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $444.04 – $3,935.00 | 7 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $189.72 – $3,886.00 | 7 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $155.10 | $282.00 | $35.25 – $149.16 | 3 |
| Compatibility test each unit electronic CPT 86923 | $135.30 | $246.00 | $26.52 – $149.16 | 3 |
| Compatibility test each unit immediate spin technique CPT 86920 | $118.80 | $216.00 | $33.15 – $149.16 | 3 |
| Compatibility test incubate CPT 86921 | $85.25 | $155.00 | $29.66 – $149.16 | 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.