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 |
|---|---|---|---|---|
| Dilator fascial 10fx20cm HCPCS C2627 | $305.68 | $555.78 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,896.46 | $5,266.30 | $158.33 – $11,867.00 | 6 |
| Dilat xst trc new access rcs CPT 50437 | $5,303.16 | $9,642.10 | $265.56 – $4,510.00 | 6 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.05 – $0.06 | 2 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $0.08 – $0.08 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $8.99 – $11.39 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $47.46 – $1,389.11 | 3 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.01 – $0.01 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $1.05 – $1.40 | 2 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $67.16 – $67.16 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $24.88 – $24.88 | 1 |
| Disability dlco CPT 94727 | not published | not published | $29.43 – $29.43 | 1 |
| Disaccharidases CPT 82657 | $263.45 | $479.00 | $22.17 – $43.23 | 3 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $473.63 – $4,510.00 | 7 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,592.99 – $7,415.00 | 6 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $201.82 – $7,415.00 | 6 |
| Discography cerv/thor spine CPT 72285 | $3,779.46 | $6,871.75 | $51.48 – $3,157.90 | 3 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $115.23 – $2,776.00 | 6 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $414.17 – $3,868.00 | 3 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,233.32 – $4,510.00 | 6 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $824.70 – $4,510.00 | 6 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $337.73 – $4,510.00 | 6 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $24.08 – $24.08 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $318.48 – $9,268.00 | 6 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $142.96 – $544.47 | 3 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $267.51 | 3 |
| Dna antibody native/double stranded CPT 86225 | $132.00 | $240.00 | $13.74 – $27.02 | 3 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $39.18 | 3 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $44.58 | 3 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $52.69 | 3 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $39.18 | 3 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $4.54 – $13.14 | 2 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.44 – $1.16 | 2 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $0.45 – $94.19 | 3 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $0.01 – $0.01 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $0.12 – $0.12 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.01 – $1.55 | 2 |
| Doppler echo complete CPT 93320 | $750.04 | $1,363.70 | $35.73 – $35.73 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,713.28 | $8,569.60 | $201.50 – $540.00 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $115.20 – $215.37 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $495.50 | $900.90 | $76.34 – $141.12 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.01 – $0.01 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $0.01 – $102.33 | 2 |
| Dornhoffer fixed part w/window HCPCS L8614 | $21,870.96 | $39,765.39 | $13,840.60 – $13,840.60 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $68.83 – $452.09 | 3 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.16 – $5.60 | 2 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $0.01 – $224.48 | 3 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.14 – $0.21 | 2 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $341.13 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,026.02 | $1,865.50 | $137.99 – $3,868.00 | 6 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $763.62 | $1,388.40 | $146.26 – $3,868.00 | 6 |
| Drainage external ear complex 69005 CPT 69005 | $1,716.72 | $3,121.30 | $162.96 – $4,510.00 | 6 |
| Drainage external ear simple 69000 CPT 69000 | $1,593.02 | $2,896.40 | $122.33 – $3,868.00 | 6 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $190.98 – $3,886.00 | 7 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $482.11 – $3,935.00 | 7 |
| Drainage mouth roof lesion CPT 42000 | $630.63 | $1,146.60 | $108.29 – $3,935.00 | 7 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $164.58 – $3,935.00 | 7 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $422.19 – $3,886.00 | 7 |
| Drainage of eye CPT 65800 | not published | not published | $93.82 – $3,886.00 | 7 |
| Drainage of eye CPT 65810 | not published | not published | $471.77 – $4,510.00 | 7 |
| Drainage of eye CPT 65815 | not published | not published | $483.96 – $3,935.00 | 7 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $375.10 – $3,935.00 | 7 |
| Drainage of kidney lesion CPT 50390 | $2,744.88 | $4,990.70 | $102.09 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $130.77 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $281.37 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $273.04 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $284.02 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $308.39 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $368.72 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41016 | $4,496.64 | $8,175.70 | $369.92 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $372.78 – $3,886.00 | 7 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $434.02 – $3,886.00 | 7 |
| Drainage of nose lesion int 30000 CPT 30000 | $311.74 | $566.80 | $121.68 – $3,868.00 | 6 |
| Drainage of nose lesion sept 30020 CPT 30020 | $737.16 | $1,340.30 | $122.73 – $3,868.00 | 6 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $538.50 – $3,886.00 | 7 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $647.16 – $3,886.00 | 7 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $456.26 – $3,935.00 | 7 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $467.91 – $3,886.00 | 7 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $656.57 – $3,935.00 | 7 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $166.89 – $3,935.00 | 7 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $594.03 – $3,935.00 | 7 |
| Drainage of salivary gland CPT 42305 | not published | not published | $450.43 – $3,935.00 | 7 |
| Drainage of salivary gland CPT 42320 | not published | not published | $183.74 – $3,886.00 | 7 |
| Drainage of throat abscess CPT 42725 | not published | not published | $856.31 – $3,935.00 | 7 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $406.14 – $3,935.00 | 7 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,995.14 | $5,445.70 | $171.19 – $4,510.00 | 6 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $440.78 – $4,510.00 | 7 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $673.11 – $4,510.00 | 6 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $54.50 – $2,291.00 | 6 |
| Drain blood from under nail 11740 CPT 11740 | $203.06 | $369.20 | $33.25 – $3,868.00 | 6 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,395.68 | $2,537.60 | $238.92 – $4,510.00 | 6 |
| Drain cath image guided visceral pq CPT 49405 | $5,385.38 | $9,791.60 | $224.80 – $11,867.00 | 6 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $970.97 | $1,765.40 | $88.43 – $3,886.00 | 7 |
| Drain chest lesion CPT 21502 | not published | not published | $529.96 – $3,935.00 | 7 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $64.24 – $64.24 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $712.14 | $1,294.80 | $140.81 – $3,886.00 | 7 |
| Drain lower leg bursa CPT 27604 | not published | not published | $355.11 – $3,935.00 | 7 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $401.94 – $3,935.00 | 7 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $331.00 – $3,935.00 | 7 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,206.56 – $4,510.00 | 6 |
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.