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 |
|---|---|---|---|---|
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $1,036.79 – $4,510.00 | 6 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $1,627.49 – $9,268.00 | 6 |
| Endovasc tempory vessel occl CPT 61623 | $15,125.11 | $27,500.20 | $598.38 – $5,082.00 | 6 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $1,392.49 – $9,268.00 | 6 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $225.40 – $4,510.00 | 6 |
| Endovenous laser vein addon 36479 CPT 36479 | $2,511.80 | $4,566.90 | $145.01 – $9,268.00 | 5 |
| Endovenous mchnchem 1st vein CPT 36473 | $4,197.05 | $7,631.00 | $182.72 – $3,868.00 | 5 |
| Endovenous mchnchem add-on CPT 36474 | $2,062.06 | $3,749.20 | $91.53 – $3,868.00 | 4 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $144.41 – $9,268.00 | 5 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $188.35 – $4,510.00 | 6 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $93.96 – $2,109.00 | 4 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $9.26 – $60.47 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.66 – $1.09 | 2 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $23.65 | 3 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $255.98 – $4,510.00 | 6 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,285.38 – $4,510.00 | 6 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,378.69 – $4,510.00 | 6 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,484.83 – $4,510.00 | 6 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,705.51 – $4,510.00 | 6 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $882.14 – $4,510.00 | 6 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $25.07 – $85.79 | 3 |
| Enzyme histochemistry CPT 88319 | $453.75 | $825.00 | $59.19 – $656.15 | 3 |
| Ep & ablate supravent arrhyt CPT 93653 | $25,072.30 | $45,586.00 | $894.03 – $6,976.00 | 4 |
| Ep & ablate ventric tachy CPT 93654 | $21,121.74 | $38,403.17 | $1,189.45 – $6,976.00 | 4 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $64.65 – $91.06 | 3 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $745.85 – $3,935.00 | 7 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $158.90 – $3,886.00 | 5 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $734.89 – $3,935.00 | 7 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $109.17 – $3,886.00 | 5 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $559.84 | $1,017.90 | $53.98 – $3,886.00 | 5 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $345.01 – $3,886.00 | 7 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $247.68 – $3,886.00 | 7 |
| Epiglottidectomy CPT 31420 | not published | not published | $859.09 – $3,935.00 | 7 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $4,779.26 | 3 |
| Ep induct arrhy by elect pacing CPT 93618 | $980.65 | $1,783.00 | $161.11 – $7,786.00 | 5 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $2.53 – $4.72 | 2 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $2.52 – $2.62 | 2 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $0.84 – $0.89 | 2 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $1.96 – $2.65 | 2 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $610.42 – $4,510.00 | 7 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $514.95 – $4,510.00 | 7 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.85 – $3.92 | 2 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $157.20 – $4,510.00 | 6 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.89 – $1.58 | 2 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $0.89 – $14.56 | 3 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $0.87 – $15.85 | 3 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.64 – $2.72 | 3 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $0.78 – $30.05 | 2 |
| Epstein barr early antigen antibody CPT 86663 | $48.40 | $88.00 | $13.12 – $25.67 | 3 |
| Epstein barr nuclear antigen antibody CPT 86664 | $71.50 | $130.00 | $15.29 – $29.73 | 3 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $152.35 | $277.00 | $18.14 – $35.13 | 3 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $10.84 – $10.84 | 1 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $3.95 – $37.05 | 3 |
| Ercp biliary & pancreas CPT 74330 | $1,263.13 | $2,296.60 | $139.49 – $139.49 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $2,935.35 | $5,337.00 | $507.37 – $11,867.00 | 6 |
| Ercp ea duct/ampulla dilate CPT 43277 | $2,569.60 | $4,672.00 | $415.96 – $11,867.00 | 6 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $2,569.60 | $4,672.00 | $475.09 – $11,867.00 | 6 |
| Ercp lithotripsy calculi CPT 43265 | $2,935.35 | $5,337.00 | $475.45 – $5,486.00 | 7 |
| Ercp remove duct calculi 43264 CPT 43264 | $2,569.60 | $4,672.00 | $400.74 – $3,935.00 | 7 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,569.60 | $4,672.00 | $413.79 – $11,867.00 | 6 |
| Ercp sphincter pressure meas CPT 43263 | $2,569.60 | $4,672.00 | $394.22 – $3,935.00 | 7 |
| Ercp stent exchange w/dilate CPT 43276 | $2,935.35 | $5,337.00 | $528.04 – $11,867.00 | 6 |
| Ercp w/specimen collection CPT 43260 | $1,706.65 | $3,103.00 | $355.73 – $3,935.00 | 7 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $0.01 – $0.01 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $1.87 – $219.98 | 3 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $0.01 – $18.29 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $270.98 | $492.70 | $21.47 – $21.47 | 1 |
| ER Visit (level 2) CPT 99282 | $424.71 | $772.20 | $42.24 – $42.24 | 1 |
| ER Visit (level 3) CPT 99283 | $750.75 | $1,365.00 | $63.78 – $63.78 | 1 |
| ER Visit (level 4) CPT 99284 | $1,485.06 | $2,700.10 | $121.41 – $121.41 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $2,408.84 | $4,379.70 | $179.82 – $179.82 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $10.60 – $119.87 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,277.00 – $2,624.00 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.33 – $0.81 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.33 – $0.40 | 2 |
| Esophageal dilat s&i CPT 74360 | $1,127.35 | $2,049.72 | $139.49 – $139.49 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $123.28 – $4,510.00 | 6 |
| Esophageal motility CPT 78258 | not published | not published | $187.71 – $678.82 | 3 |
| Esophageal recording CPT 93615 | $1,519.08 | $2,761.96 | $14.24 – $7,786.00 | 4 |
| Esophageal recording CPT 93616 | $1,439.49 | $2,617.25 | $176.33 – $7,786.00 | 4 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $1,486.00 – $2,624.00 | 2 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,403.22 – $4,510.00 | 6 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,424.07 – $4,510.00 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $212.19 – $6,335.00 | 6 |
| Esophagosc flex trnsn biopsy CPT 43198 | $1,904.10 | $3,462.00 | $104.51 – $4,510.00 | 6 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $263.31 – $4,510.00 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $210.08 – $11,867.00 | 6 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $178.76 – $3,935.00 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $132.76 – $3,886.00 | 7 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $184.29 – $3,935.00 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $116.81 – $3,886.00 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $99.04 – $3,886.00 | 7 |
| Esophagoscopy flex dx brush CPT 43197 | $1,353.00 | $2,460.00 | $87.09 – $4,510.00 | 7 |
| Esophagoscopy flex remove fb CPT 43215 | $1,306.80 | $2,376.00 | $157.92 – $2,939.00 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $219.44 – $11,867.00 | 6 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $151.18 – $3,886.00 | 7 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $284.39 – $6,335.00 | 6 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $194.88 – $6,335.00 | 6 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $160.79 – $4,510.00 | 7 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $585.30 – $11,867.00 | 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.