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 |
|---|---|---|---|---|
| Comp cystometrogram/void presssure 51728 CPT 51728 | $731.44 | $1,329.90 | $205.51 – $2,109.00 | 6 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $209.04 – $2,109.00 | 6 |
| Complement antigen each component c3 CPT 86160 | $135.85 | $247.00 | $12.00 – $23.65 | 3 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $19.59 | 3 |
| Complete removal of vulva CPT 56625 | not published | not published | $652.78 – $8,785.00 | 7 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Complex cystometrogram 51726 CPT 51726 | $1,806.80 | $3,285.10 | $174.01 – $3,886.00 | 7 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,445.02 | $2,627.30 | $243.50 – $3,935.00 | 7 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,529.38 | $2,780.70 | $260.47 – $4,510.00 | 7 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $203.06 | $369.20 | $7.38 – $3,868.00 | 6 |
| Compl oph exam general anes CPT 92018 | not published | not published | $147.90 – $3,868.00 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,477.19 | $2,685.80 | $296.85 – $4,510.00 | 7 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,773.20 | $3,224.00 | $359.37 – $4,510.00 | 7 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $778.64 | $1,415.70 | $147.32 – $3,886.00 | 5 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $783.64 | $1,424.80 | $258.48 – $3,935.00 | 7 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $875.88 | $1,592.50 | $324.64 – $4,510.00 | 7 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $985.27 | $1,791.40 | $136.41 – $3,886.00 | 5 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,250.54 | $2,273.70 | $89.09 – $3,886.00 | 5 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,445.02 | $2,627.30 | $212.94 – $3,935.00 | 7 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $77.50 – $3,886.00 | 5 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $582.36 – $582.36 | 1 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,478.19 | $4,505.80 | $731.14 – $3,935.00 | 7 |
| Comprehensive hearing test CPT 92557 | $274.56 | $499.20 | $32.90 – $32.90 | 1 |
| Compre oph exam est pt 1/> CPT 92014 | $141.78 | $257.79 | $81.23 – $81.23 | 1 |
| Compre oph exam new pt 1/> CPT 92004 | $170.27 | $309.58 | $101.52 – $101.52 | 1 |
| Concentration infection agents any type CPT 87015 | $68.20 | $124.00 | $6.68 – $12.83 | 3 |
| Conditioning play audiometry 92582 CPT 92582 | $308.16 | $560.30 | $70.39 – $70.39 | 1 |
| Condylomata destruction 56420 CPT 56420 | $459.03 | $834.60 | $93.88 – $3,868.00 | 6 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $28.38 – $28.38 | 1 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $250.25 – $3,935.00 | 7 |
| Conization of cervix CPT 57520 | not published | not published | $282.79 – $3,935.00 | 7 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $9.06 – $727.28 | 3 |
| Connect omega .5mm HCPCS L8613 | $2,174.80 | $3,954.19 | $198.05 – $198.05 | 1 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $553.70 – $4,510.00 | 7 |
| Construction of vagina CPT 57291 | not published | not published | $543.54 – $6,335.00 | 7 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,693.11 – $3,935.00 | 7 |
| Construct vagina with graft CPT 57292 | not published | not published | $839.40 – $4,510.00 | 6 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $33.84 – $46.34 | 3 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $294.25 | $535.00 | $43.44 – $656.15 | 3 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $105.05 | $191.00 | $13.33 – $47.90 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $301.95 | $549.00 | $38.18 – $149.16 | 3 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $344.85 | $627.00 | $49.76 – $61.63 | 3 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $130.90 | $238.00 | $33.84 – $109.33 | 3 |
| Consult comp w/report rfrd material CPT 88325 | $211.75 | $385.00 | $138.15 – $176.37 | 3 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $56.84 – $56.84 | 1 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $65.89 – $65.89 | 1 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $44.21 – $44.21 | 1 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $33.67 – $540.00 | 2 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $765.25 – $8,785.00 | 7 |
| Contour of face bone lesion CPT 21029 | not published | not published | $659.22 – $3,935.00 | 7 |
| Contrast baths charges CPT 97034 | not published | not published | $18.23 – $18.23 | 1 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,931.50 | $5,330.00 | $80.54 – $5,150.99 | 3 |
| Contrast exam thoracic aorta CPT 75600 | $3,849.56 | $6,999.20 | $170.86 – $5,150.99 | 3 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,903.90 | $7,098.00 | $80.89 – $8,586.67 | 3 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $52.54 – $321.39 | 3 |
| Contrast x-ray of ankle CPT 73615 | $721.76 | $1,312.29 | $67.94 – $662.62 | 3 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $74.40 – $662.62 | 3 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $92.09 – $1,287.32 | 3 |
| Contrast x-ray of elbow CPT 73085 | $825.82 | $1,501.50 | $68.29 – $662.62 | 3 |
| Contrast x-ray of hip CPT 73525 | $900.90 | $1,638.00 | $71.09 – $662.62 | 3 |
| Contrast x-ray of knee joint CPT 73580 | $769.88 | $1,399.78 | $84.74 – $662.62 | 3 |
| Contrast x-ray of wrist CPT 73115 | $721.76 | $1,312.29 | $76.69 – $662.62 | 3 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $10,609.32 – $10,609.32 | 1 |
| Control nosebleed pack+caut 30905 CPT 30905 | $549.84 | $999.70 | $104.84 – $3,886.00 | 7 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $477.56 – $4,510.00 | 6 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $534.89 – $4,510.00 | 7 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $296.01 | $538.20 | $412.00 – $3,868.00 | 6 |
| Control of nosebleed ant comp 30903 CPT 30903 | $1,899.76 | $3,454.10 | $82.94 – $3,886.00 | 7 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $627.06 | $1,140.10 | $59.29 – $3,868.00 | 6 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $1,252.68 | $2,277.60 | $178.11 – $3,886.00 | 7 |
| Control throat bleeding CPT 42961 | $883.74 | $1,606.80 | $441.20 – $4,510.00 | 6 |
| Control throat bleeding CPT 42962 | not published | not published | $541.90 – $3,935.00 | 7 |
| Conversion ext bil drg cath CPT 47535 | $3,251.10 | $5,911.10 | $245.36 – $11,867.00 | 6 |
| Convert nephrostomy catheter CPT 50434 | $2,013.44 | $3,660.80 | $218.53 – $4,510.00 | 6 |
| Conv gtube to jtube CPT 44373 | not published | not published | $212.96 – $3,935.00 | 7 |
| Coombs direct CPT 86880 | $38.50 | $70.00 | $5.39 – $10.81 | 3 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $5.72 – $11.49 | 3 |
| Coombs indirect titer reference CPT 86886 | $85.25 | $155.00 | $5.18 – $10.14 | 3 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $981.75 – $981.92 | 2 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $1,106.70 – $1,106.70 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $2,049.51 | 3 |
| Core ndl bx lng/med perq CPT 32408 | $3,850.99 | $7,001.80 | $156.16 – $8,785.00 | 5 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $706.08 – $6,335.00 | 7 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $541.19 – $4,510.00 | 7 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $524.26 – $4,510.00 | 7 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $4,757.08 – $4,757.08 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $6.68 – $6.68 | 1 |
| Corneal smear CPT 65430 | not published | not published | $105.25 – $3,868.00 | 6 |
| Corneal transplant CPT 65710 | not published | not published | $1,121.53 – $8,785.00 | 7 |
| Corneal transplant CPT 65730 | not published | not published | $1,244.74 – $8,785.00 | 7 |
| Corneal transplant CPT 65750 | not published | not published | $1,252.40 – $8,785.00 | 7 |
| Corneal transplant CPT 65755 | not published | not published | $1,245.54 – $8,785.00 | 7 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,204.32 – $11,867.00 | 7 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $7,625.14 | $13,863.90 | $822.08 – $7,786.00 | 6 |
| Coronary angio/lv gram/lt heart CPT 93458 | $9,912.41 | $18,022.56 | $750.66 – $7,786.00 | 6 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $11,994.13 | $21,807.51 | $867.58 – $7,786.00 | 6 |
| Coronary art/grft angio s&i CPT 93455 | $7,731.72 | $14,057.67 | $735.93 – $7,786.00 | 6 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $9,113.08 | $16,569.23 | $630.56 – $7,786.00 | 6 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $503.13 | $914.78 | $56.99 – $3,868.00 | 3 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $623.77 – $3,935.00 | 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.