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 |
|---|---|---|---|---|
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $250.23 – $14,718.00 | 7 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $183.88 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $213.70 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $256.77 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $301.44 – $4,510.00 | 7 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $409.72 – $4,510.00 | 7 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $220.10 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $169.55 – $3,868.00 | 6 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $276.39 – $4,510.00 | 7 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $338.19 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $209.90 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $204.43 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $254.95 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $293.11 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $303.66 – $4,510.00 | 7 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $291.00 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52310 | $2,759.90 | $5,018.00 | $158.08 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $286.96 – $3,935.00 | 7 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $257.62 – $6,335.00 | 7 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $275.41 – $3,935.00 | 7 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $131.42 – $2,939.00 | 7 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $176.68 – $6,335.00 | 7 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $172.46 – $3,935.00 | 7 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $352.35 – $11,867.00 | 7 |
| Cystoscopy inject material CPT 52327 | not published | not published | $274.33 – $3,935.00 | 7 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $2,624.00 – $2,769.00 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $300.39 – $3,935.00 | 7 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $189.58 – $3,935.00 | 7 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $259.72 – $3,935.00 | 7 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $335.37 – $22,242.00 | 7 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $138.67 – $3,935.00 | 7 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $298.20 – $5,560.00 | 7 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $483.95 – $14,718.00 | 7 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $809.64 – $4,510.00 | 6 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $316.38 – $4,510.00 | 7 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $386.50 – $4,510.00 | 7 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $435.53 – $5,560.00 | 7 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $487.89 – $5,560.00 | 7 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $434.48 – $22,242.00 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $409.72 – $22,242.00 | 7 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $467.55 – $4,510.00 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $370.85 – $5,560.00 | 7 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $412.28 – $4,510.00 | 7 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $279.03 – $4,510.00 | 7 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $158.66 – $3,935.00 | 7 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $148.22 – $3,935.00 | 7 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $63.60 – $4,510.00 | 6 |
| Cystourethro w/implant CPT 52441 | not published | not published | $237.69 – $4,510.00 | 6 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,978.00 – $11,867.00 | 4 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $359.94 – $4,510.00 | 7 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $323.25 – $4,510.00 | 7 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $296.34 – $4,510.00 | 7 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.01 – $1.54 | 2 |
| Cytogenetics 25-99 CPT 88274 | $440.00 | $800.00 | $42.38 – $82.41 | 3 |
| Cytogenetics 3-5 CPT 88272 | $165.00 | $300.00 | $37.17 – $79.71 | 3 |
| Cytogenomic neo microra alys CPT 81277 | $1,773.20 | $3,224.00 | $1,160.00 – $2,264.32 | 3 |
| Cytogenom microarray copy nmbr var CPT 81228 | $3,424.85 | $6,227.00 | $900.00 – $1,757.01 | 3 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $180.40 | $328.00 | $14.39 – $28.38 | 3 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $104.50 | $190.00 | $16.85 – $33.10 | 3 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $26.34 | 3 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,227.18 – $3,355.04 | 3 |
| Cyto/molecular report CPT 88291 | $187.00 | $340.00 | $32.06 – $43.65 | 3 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $20.26 – $49.31 | 3 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $6.07 – $28.38 | 3 |
| Cytopath fl nongyn filter CPT 88106 | $73.70 | $134.00 | $24.67 – $95.86 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $148.50 | $270.00 | $35.38 – $77.62 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $47.85 | $87.00 | $25.54 – $52.01 | 3 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $37.95 | $69.00 | $20.26 – $39.85 | 3 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $86.90 | $158.00 | $33.84 – $83.70 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $108.90 | $198.00 | $33.84 – $79.65 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $15.40 | $28.00 | $7.33 – $14.18 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $154.55 | $281.00 | $19.28 – $149.16 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $143.55 | $261.00 | $49.76 – $174.05 | 3 |
| Cytopath smear other source CPT 88160 | not published | not published | $24.67 – $91.81 | 3 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.76 – $148.49 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $102.85 | $187.00 | $24.67 – $96.54 | 3 |
| Cytopath tbs c/v manual CPT 88164 | $51.70 | $94.00 | $14.67 – $29.73 | 3 |
| Cytotoxic antibody screening CPT 86807 | $165.55 | $301.00 | $54.94 – $153.34 | 3 |
| Cytotoxic antibody screening CPT 86808 | $579.70 | $1,054.00 | $29.68 – $58.09 | 3 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $291.26 – $772.73 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.44 – $6.39 | 2 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $33.73 – $609.07 | 3 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $0.07 – $28.96 | 3 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $0.26 – $30.68 | 2 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.05 | 2 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.07 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $4.49 – $103.08 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $0.27 – $5.43 | 3 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.48 – $5.43 | 3 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $0.01 – $475.04 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $22.95 – $40.25 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $245.40 – $1,486.00 | 3 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $182.51 – $4,510.00 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $225.99 – $3,935.00 | 7 |
| Dch glucoscan CPT 82948 | not published | not published | $4.39 – $10.14 | 3 |
| Dch pulmonary stress test CPT 94621 | $752.90 | $1,368.90 | $93.87 – $93.87 | 1 |
| Dch validity tests CPT 81002 | $95.70 | $174.00 | $2.90 – $6.75 | 3 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $595.42 – $11,867.00 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,599.68 – $4,510.00 | 6 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $285.00 – $3,886.00 | 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.