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 |
|---|---|---|---|---|
| Cta abdomen without & /or w/contrast CPT 74175 | $2,002.00 | $3,640.00 | $210.79 – $321.39 | 2 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,573.00 | $2,860.00 | $253.87 – $321.39 | 2 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,002.00 | $3,640.00 | $250.70 – $321.39 | 2 |
| Cta neck without &/or w/contrast CPT 70498 | $1,115.40 | $2,028.00 | $200.99 – $321.39 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,182.18 | $3,967.60 | $272.05 – $662.62 | 2 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,540.00 | $2,800.00 | $203.44 – $321.39 | 2 |
| CT Angiogram of the Head CPT 70496 | $2,002.00 | $3,640.00 | $202.39 – $321.39 | 2 |
| CT angio hrt w/3d image CPT 75574 | $1,009.58 | $1,835.60 | $210.42 – $321.39 | 2 |
| CT angio pelvis CPT 72191 | $2,298.72 | $4,179.50 | $208.69 – $321.39 | 2 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,002.00 | $3,640.00 | $230.75 – $321.39 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $58.14 – $145.62 | 2 |
| CT colonography dx CPT 74261 | not published | not published | $116.94 – $196.15 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $234.57 – $321.39 | 2 |
| CT colonography screening CPT 74263 | not published | not published | $627.72 – $1,189.58 | 2 |
| CT guidance for needle placement CPT 77012 | $1,766.05 | $3,211.00 | $65.49 – $65.49 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $735.14 | $1,336.62 | $60.58 – $60.58 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | $4,092.66 | $7,441.20 | $540.00 – $3,868.00 | 3 |
| CT guid parench tis ablat CPT 77013 | $678.54 | $1,233.70 | $210.81 – $210.81 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $28.73 – $145.62 | 2 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $400.40 | $728.00 | $210.44 – $321.39 | 2 |
| CT hrt w/3d image CPT 75572 | $557.70 | $1,014.00 | $192.93 – $321.39 | 2 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $58.14 – $145.62 | 2 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,501.50 | $2,730.00 | $163.50 – $321.39 | 2 |
| CT lower extremity without contrast (both sides) CPT 73700 | $857.45 | $1,559.00 | $116.94 – $196.15 | 2 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,002.00 | $3,640.00 | $207.97 – $321.39 | 2 |
| CT neck soft tissue w/contrast CPT 70491 | $1,501.50 | $2,730.00 | $162.10 – $321.39 | 2 |
| CT neck soft tissue without contrast CPT 70490 | $858.00 | $1,560.00 | $116.94 – $196.15 | 2 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,030.60 | $3,692.00 | $200.27 – $321.39 | 2 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,002.00 | $3,640.00 | $223.72 – $321.39 | 2 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,501.50 | $2,730.00 | $201.66 – $321.39 | 2 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $660.00 | $1,200.00 | $116.94 – $196.15 | 2 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $136.92 – $3,886.00 | 7 |
| CT scan for therapy guide CPT 77014 | $720.00 | $1,309.10 | $71.78 – $71.78 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,002.00 | $3,640.00 | $245.77 – $662.62 | 2 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,930.50 | $3,510.00 | $214.62 – $662.62 | 2 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,115.40 | $2,028.00 | $109.60 – $414.23 | 2 |
| CT thoracic spine w/contrast CPT 72129 | $1,501.50 | $2,730.00 | $164.21 – $321.39 | 2 |
| CT thoracic spine without contrast CPT 72128 | $858.00 | $1,560.00 | $116.94 – $196.15 | 2 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $97.25 – $145.62 | 2 |
| CT t-spine w /wo contrast CPT 72130 | $2,030.60 | $3,692.00 | $202.36 – $321.39 | 2 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,501.50 | $2,730.00 | $160.35 – $662.62 | 2 |
| CT upper extremity without contrast (both sides) CPT 73200 | $878.02 | $1,596.40 | $116.94 – $196.15 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,002.00 | $3,640.00 | $211.81 – $321.39 | 2 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $149.16 – $2,068.42 | 3 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $149.16 – $2,151.51 | 3 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $655.04 – $3,935.00 | 7 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $659.80 – $3,935.00 | 7 |
| Culture aerobic additional method definitive id each CPT 87077 | $42.35 | $77.00 | $8.08 – $15.53 | 3 |
| Culture afb any source CPT 87116 | $80.85 | $147.00 | $10.80 – $20.94 | 3 |
| Culture anaerobic additional method definitive id each CPT 87076 | $53.90 | $98.00 | $8.08 – $15.53 | 3 |
| Culture anaerobic except blood CPT 87075 | $45.10 | $82.00 | $9.47 – $18.24 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $42.35 | $77.00 | $9.44 – $18.24 | 3 |
| Culture body fluid CPT 87070 | $116.05 | $211.00 | $8.62 – $16.89 | 3 |
| Culture fungi definitive id mold CPT 87107 | $50.05 | $91.00 | $10.32 – $20.26 | 3 |
| Culture fungi definitive id yeast CPT 87106 | $48.40 | $88.00 | $10.32 – $20.26 | 3 |
| Culture fungi other (except blood) CPT 87102 | $40.15 | $73.00 | $8.41 – $16.22 | 3 |
| Culture fungi skin/hair/nail CPT 87101 | $46.20 | $84.00 | $7.71 – $14.86 | 3 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $133.10 | $242.00 | $14.61 – $28.38 | 3 |
| Culture mycoplasma any source CPT 87109 | $133.10 | $242.00 | $15.39 – $29.73 | 3 |
| Culture quantitative aerobic other source CPT 87071 | $112.75 | $205.00 | $9.89 – $19.59 | 3 |
| Culture screening strep group a CPT 87081 | $38.50 | $70.00 | $6.63 – $12.83 | 3 |
| Culture typing added method CPT 87158 | not published | not published | $7.26 – $14.86 | 3 |
| Culture typing immunologic CPT 87147 | $40.70 | $74.00 | $5.18 – $10.14 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $514.80 | $936.00 | $218.06 – $283.49 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $64.35 | $117.00 | $35.09 – $68.23 | 3 |
| Culture urine each isolate CPT 87088 | $37.95 | $69.00 | $7.73 – $15.53 | 3 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $38.50 | 3 |
| Curette/treat cornea CPT 65435 | not published | not published | $70.25 – $3,868.00 | 6 |
| Curette/treat cornea CPT 65436 | not published | not published | $376.76 – $3,868.00 | 6 |
| Cutter lead HCPCS C1773 | $569.11 | $1,034.75 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $2,852.14 | $5,185.70 | $65.37 – $3,868.00 | 6 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $14.87 – $14.87 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $22.85 – $22.85 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $37.40 | $68.00 | $14.32 – $27.69 | 3 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $1.10 – $1.86 | 2 |
| Cyclic citrullinated peptide antibody CPT 86200 | $45.65 | $83.00 | $12.95 – $24.99 | 3 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.72 – $1.45 | 3 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.06 – $2.03 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $0.90 – $134.64 | 2 |
| Cyclosporine 2 hour CPT 80158 | $92.95 | $169.00 | $18.05 – $35.13 | 3 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.89 – $1.49 | 2 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.40 – $3.78 | 2 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $568.78 | 3 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $341.13 | 3 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $880.19 | 3 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $341.13 | 3 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $341.13 | 3 |
| Cystatin c CPT 82610 | $34.65 | $63.00 | $18.52 – $36.48 | 3 |
| Cystic fibrosis cftr CPT 81223 | $1,335.95 | $2,429.00 | $499.00 – $974.09 | 3 |
| Cystine urine quantitative CPT 82131 | $882.20 | $1,604.00 | $22.98 – $44.58 | 3 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $497.10 – $4,510.00 | 7 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $956.82 | $1,739.67 | $20.68 – $662.62 | 3 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $2,624.00 – $2,769.00 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $200.27 – $2,109.00 | 6 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $933.53 – $4,510.00 | 6 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $775.09 – $4,510.00 | 6 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $158.19 – $11,867.00 | 6 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $172.84 – $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.