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 |
|---|---|---|---|---|
| D&c of cervical stump CPT 57558 | not published | not published | $116.48 – $4,510.00 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | $98.45 | $179.00 | $11.53 – $14.98 | 3 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $737.57 – $4,510.00 | 6 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,056.06 | $1,920.10 | $29.83 – $3,886.00 | 7 |
| Debridement (>20 cm) charge pt CPT 97598 | $274.56 | $499.20 | $12.03 – $1,486.00 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,293.00 | $4,169.10 | $242.32 – $3,935.00 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $629.92 | $1,145.30 | $58.15 – $2,109.00 | 4 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,632.34 | $2,967.90 | $103.96 – $2,109.00 | 4 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,131.13 | $2,056.60 | $63.94 – $3,935.00 | 7 |
| Debride nail1-5 11720 CPT 11720 | $180.90 | $328.90 | $15.28 – $3,868.00 | 6 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $25.47 – $3,868.00 | 6 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $310.21 – $3,935.00 | 7 |
| Debride skin bone at fx site CPT 11012 | $2,569.00 | $4,670.90 | $442.22 – $3,935.00 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $609.03 – $4,510.00 | 6 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $823.47 – $4,510.00 | 6 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $793.65 | $1,443.00 | $27.26 – $2,109.00 | 4 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $263.12 | $478.40 | $63.96 – $3,868.00 | 6 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,734.59 | $3,153.80 | $290.26 – $3,935.00 | 7 |
| Debr inf skin add-on 11001 CPT 11001 | $274.56 | $499.20 | $14.55 – $1,486.00 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $161.96 – $3,935.00 | 7 |
| Decalcification CPT 88311 | $27.50 | $50.00 | $8.08 – $16.82 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $0.92 – $2.26 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $878.02 | $1,596.40 | $30.48 – $2,109.00 | 5 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $516.28 – $4,510.00 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $587.05 – $4,510.00 | 7 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,279.51 – $4,510.00 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $582.08 – $5,560.00 | 6 |
| Decompress fingers/hand CPT 26035 | not published | not published | $888.81 – $5,560.00 | 6 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,134.76 – $4,510.00 | 7 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $805.67 – $4,510.00 | 7 |
| Decompression fasct forearm CPT 24495 | not published | not published | $559.82 – $3,935.00 | 7 |
| Decompression of leg CPT 27892 | not published | not published | $569.47 – $4,510.00 | 7 |
| Decompression of leg CPT 27893 | not published | not published | $631.97 – $4,510.00 | 7 |
| Decompression of leg CPT 27894 | not published | not published | $900.73 – $4,510.00 | 7 |
| Decompression of lower leg CPT 27600 | not published | not published | $431.88 – $4,510.00 | 7 |
| Decompression of lower leg CPT 27601 | not published | not published | $464.85 – $4,510.00 | 7 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $563.07 – $6,335.00 | 7 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $613.10 – $4,510.00 | 7 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $679.52 – $4,510.00 | 7 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $727.41 – $4,510.00 | 7 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $368.33 – $5,560.00 | 7 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $384.30 – $3,886.00 | 7 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,171.77 – $5,560.00 | 7 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,740.87 – $11,867.00 | 6 |
| Decompress small bowel CPT 44021 | not published | not published | $1,024.55 – $4,510.00 | 6 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,573.74 – $11,867.00 | 6 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,886.08 – $11,867.00 | 6 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $342.20 – $7,415.00 | 4 |
| Deep muscle biopsy 20205 CPT 20205 | $4,954.24 | $9,007.70 | $163.40 – $4,510.00 | 7 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $1.87 – $16.71 | 2 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $5.06 – $8.25 | 3 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $951.04 – $4,510.00 | 7 |
| Delay flap arms/legs CPT 15610 | not published | not published | $247.51 – $4,510.00 | 7 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $355.59 – $4,510.00 | 7 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $333.96 – $5,560.00 | 7 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $211.40 – $4,510.00 | 7 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $97.23 – $4,510.00 | 6 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,005.32 – $4,510.00 | 5 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,368.48 – $4,510.00 | 5 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $726.06 – $9,268.00 | 6 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $109.97 – $109.97 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $175.18 | $318.50 | $17.18 – $17.18 | 1 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,111.41 – $5,560.00 | 7 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $33.96 – $54.50 | 3 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $238.81 | $434.20 | $152.01 – $3,886.00 | 7 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.19 – $2.19 | 1 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $9.79 – $91.41 | 2 |
| Dermabrasion other than face CPT 15782 | not published | not published | $459.40 – $3,868.00 | 6 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $442.66 – $3,868.00 | 6 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $382.30 – $3,868.00 | 6 |
| Dermabrasion total face CPT 15780 | not published | not published | $658.10 – $4,510.00 | 6 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $691.44 – $4,510.00 | 7 |
| Dermagraft HCPCS Q4106 | not published | not published | $32.07 – $32.07 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $73.76 – $4,510.00 | 5 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $760.35 – $3,935.00 | 7 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $587.72 – $3,935.00 | 7 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,931.39 – $4,510.00 | 6 |
| Design custom breast implant CPT 19396 | not published | not published | $151.18 – $4,510.00 | 6 |
| Design mlc device for imrt CPT 77338 | not published | not published | $277.73 – $464.89 | 2 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $1.65 – $8.17 | 3 |
| Desoxycorticosterone CPT 82633 | $173.80 | $316.00 | $30.98 – $60.80 | 3 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $445.23 – $4,510.00 | 6 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,659.52 – $4,510.00 | 6 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,201.02 – $4,510.00 | 6 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $93.08 – $3,868.00 | 6 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $128.13 – $3,868.00 | 6 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $148.39 – $3,886.00 | 7 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $102.49 – $3,868.00 | 6 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $114.05 – $3,868.00 | 6 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $131.39 – $3,868.00 | 6 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $71.55 – $3,868.00 | 6 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $93.79 – $3,868.00 | 6 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $449.02 | $816.40 | $119.44 – $3,868.00 | 6 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $512.66 | $932.10 | $132.47 – $3,868.00 | 6 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $235.72 – $3,886.00 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $71.05 – $3,886.00 | 5 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $152.72 – $6,335.00 | 6 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $321.75 | $585.00 | $53.70 – $3,868.00 | 6 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $207.52 – $4,510.00 | 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.