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 |
|---|---|---|---|---|
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $631.33 – $6,335.00 | 7 |
| Actigraphy testing CPT 95803 | not published | not published | $96.99 – $96.99 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $20.33 – $20.33 | 1 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $34.08 – $34.08 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $31.55 – $31.55 | 1 |
| Acute hepatitis panel CPT 80074 | $180.95 | $329.00 | $47.63 – $93.22 | 3 |
| Acute venous thrombus image CPT 78456 | not published | not published | $277.35 – $2,350.69 | 3 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.03 – $0.07 | 2 |
| #acylcarnitineprfl CPT 82017 | $152.90 | $278.00 | $16.87 – $33.10 | 3 |
| Acylcarnitines qual CPT 82016 | $35.75 | $65.00 | $16.49 – $32.42 | 3 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $31.98 – $31.98 | 1 |
| Adding walker to prev cast CPT 29440 | $278.85 | $507.00 | $30.09 – $3,868.00 | 6 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.26 – $1.03 | 2 |
| Adenovirus ag ia CPT 87301 | $96.80 | $176.00 | $11.98 – $23.65 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $86.90 | $158.00 | $12.87 – $24.99 | 3 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $16.65 – $42.56 | 3 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $913.09 – $4,510.00 | 6 |
| Adh-sendout CPT 84588 | $75.35 | $137.00 | $33.94 – $66.21 | 3 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $1,486.00 – $4,510.00 | 5 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $5,208.06 | $9,469.20 | $463.22 – $4,510.00 | 7 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $3,675.10 | $6,682.00 | $800.30 – $4,510.00 | 7 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.23 – $0.23 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $173.03 | $314.60 | $27.99 – $27.99 | 1 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $255.26 | $464.10 | $62.03 – $62.03 | 1 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $806.30 | $1,466.00 | $133.66 – $133.66 | 1 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $409.20 | $744.00 | $109.42 – $109.42 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $270.98 | $492.70 | $32.19 – $32.19 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $290.95 | $529.00 | $73.96 – $73.96 | 1 |
| Administration immunization 1 vaccine CPT 90471 | $31.35 | $57.00 | $25.16 – $25.16 | 1 |
| Administration immunization each additional component CPT 90461 | $36.65 | $66.64 | $12.87 – $12.87 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $39.14 | $71.16 | $12.87 – $12.87 | 1 |
| Administration immunization first component each vaccine CPT 90460 | $49.08 | $89.23 | $25.16 – $25.16 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $83.86 | $152.48 | $25.16 – $25.16 | 1 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $27.96 | $50.83 | $12.87 – $12.87 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $21.88 – $21.88 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $74.55 | $135.54 | $14.45 – $14.45 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | $47.30 | $86.00 | $14.45 – $14.45 | 1 |
| Administration vaccine pneumococcal HCPCS G0009 | $24.20 | $44.00 | $14.45 – $14.45 | 1 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $18.94 – $18.94 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $48.61 – $78.21 | 3 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $422.66 – $2,350.69 | 3 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,274.69 – $4,510.00 | 6 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $75.11 – $75.11 | 1 |
| Aep hearing status deter i&r CPT 92651 | $368.04 | $669.16 | $91.72 – $91.72 | 1 |
| Aep neurodiagnostic i&r CPT 92653 | $1,250.93 | $2,274.42 | $87.94 – $87.94 | 1 |
| Aep thrshld est mlt freq i&r CPT 92652 | $1,313.75 | $2,388.63 | $120.16 – $120.16 | 1 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,031.69 – $4,740.99 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $20.05 – $39.18 | 3 |
| #afb mycobacteria suscep. #1 CPT 87190 | $115.50 | $210.00 | $0.91 – $14.18 | 3 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $224.95 | 3 |
| Aflibercept injection HCPCS J0178 | not published | not published | $375.79 – $1,431.24 | 3 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $419.86 – $419.86 | 1 |
| After cataract laser surgery CPT 66821 | not published | not published | $314.36 – $3,935.00 | 7 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $267.45 – $368.81 | 3 |
| Air conduction bilat CPT 92552 | $165.88 | $301.60 | $30.83 – $30.83 | 1 |
| Air injection into abdomen 49400 CPT 49400 | $592.74 | $1,077.70 | $99.98 – $1,486.00 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $337.48 | $613.60 | $26.63 – $26.63 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $66.55 | $121.00 | $7.18 – $14.86 | 3 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $24.95 – $98.46 | 2 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $24.66 – $39.38 | 3 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $26.47 – $98.46 | 3 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $1.00 – $19.69 | 2 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $66.21 | 3 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $53.35 | $97.00 | $5.78 – $11.49 | 3 |
| Albumin serum plasma or whole blood CPT 82040 | $35.75 | $65.00 | $4.95 – $9.46 | 3 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.11 – $0.36 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.19 – $0.31 | 2 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.09 – $0.14 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.27 – $33.77 | 3 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $17.49 – $17.49 | 1 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $68.84 – $68.84 | 1 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3.20 – $8,747.08 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2.08 – $3,982.04 | 3 |
| Alkaline phosphatase CPT 84075 | $55.00 | $100.00 | $5.18 – $10.14 | 3 |
| Allergen alpha lactalbumin ige CPT 86008 | $81.40 | $148.00 | $17.93 – $35.13 | 3 |
| Allergen egg white ige CPT 86003 | $62.15 | $113.00 | $5.22 – $10.14 | 3 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $28.05 | $51.00 | $7.97 – $15.53 | 3 |
| Allergy injections; 2 or more 95117 CPT 95117 | $66.68 | $121.24 | $10.18 – $10.18 | 1 |
| Allergy injection; single 95115 CPT 95115 | $58.92 | $107.12 | $8.77 – $8.77 | 1 |
| Allergy Skin Testing CPT 95004 | $5.50 | $10.00 | $6.35 – $6.35 | 1 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $5.63 – $5.63 | 1 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,335.82 – $6,969.00 | 7 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $72.98 – $145.00 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $75.55 – $188.68 | 2 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $30.33 – $55.49 | 2 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $161.43 – $280.41 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $77.69 – $77.69 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $123.77 – $229.65 | 2 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $222.58 – $455.04 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $10.66 – $23.86 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | $151.58 | $275.60 | $7.25 – $7.25 | 1 |
| All tstg perq&iq w/venoms CPT 95017 | $52.20 | $94.90 | $3.64 – $3.64 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $0.60 – $10.12 | 3 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $164.45 | $299.00 | $64.41 – $125.65 | 3 |
| Alpha-fetoprotein amniotic CPT 82106 | $167.75 | $305.00 | $17.00 – $33.10 | 3 |
| Alpha-fetoprotein tumor marker CPT 82105 | $156.75 | $285.00 | $16.77 – $32.42 | 3 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.67 – $0.67 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $109.36 – $175.20 | 3 |
| Alt/sgpt CPT 84460 | $35.75 | $65.00 | $5.30 – $10.14 | 3 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $2.24 – $8.65 | 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.