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 |
|---|---|---|---|---|
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $178.95 – $3,886.00 | 7 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $219.11 – $3,935.00 | 7 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $206.50 – $6,335.00 | 6 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $178.21 – $6,335.00 | 6 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $178.56 – $6,335.00 | 7 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $201.70 – $6,335.00 | 6 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $157.36 – $3,886.00 | 7 |
| Esophagus motility study CPT 91010 | $1,716.72 | $3,121.30 | $108.19 – $1,486.00 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $385.44 – $540.00 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $171.90 – $3,935.00 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $146.23 – $3,886.00 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $857.98 – $9,268.00 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,200.62 – $9,268.00 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $14.37 – $540.00 | 2 |
| Esoph imped function test CPT 91037 | $413.27 | $751.40 | $109.24 – $540.00 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | $698.56 | $1,270.10 | $392.44 – $540.00 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $148.77 – $6,335.00 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $152.64 – $3,886.00 | 7 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $116.44 – $3,886.00 | 7 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Essure 58565 CPT 58565 | not published | not published | $443.53 – $11,867.00 | 7 |
| Establish access to aorta CPT 36160 | $1,191.04 | $2,165.53 | $131.67 – $3,868.00 | 4 |
| Establish access to artery CPT 36100 | $1,547.98 | $2,814.50 | $164.58 – $3,868.00 | 4 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,119.01 – $4,510.00 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $97.35 | $177.00 | $9.43 – $9.43 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $114.40 | $208.00 | $26.09 – $2,109.00 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $134.75 | $245.00 | $51.81 – $3,158.00 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $154.55 | $281.00 | $80.10 – $3,868.00 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $195.25 | $355.00 | $113.81 – $4,382.00 | 2 |
| Estradiol total CPT 82670 | $302.50 | $550.00 | $27.94 – $54.72 | 3 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.96 – $13.45 | 2 |
| Estrogens total-sendout CPT 82672 | $56.10 | $102.00 | $21.70 – $42.56 | 3 |
| Etanercept injection HCPCS J1438 | not published | not published | $22.27 – $1,304.79 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $188.05 – $944.13 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $911.12 – $4,510.00 | 7 |
| Ethylene glycol -sendout CPT 82693 | $136.95 | $249.00 | $14.90 – $29.05 | 3 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,179.41 – $1,179.41 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.51 – $1.75 | 2 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $0.42 – $143.69 | 2 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $20.50 – $208.60 | 3 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $16.22 | 3 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $491.71 – $6,335.00 | 7 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $248.54 | $451.90 | $77.70 – $77.70 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $125.81 – $125.81 | 1 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $194.15 | $353.00 | $89.41 – $191.84 | 3 |
| Evaluation heart device CPT 93640 | not published | not published | $318.76 – $7,786.00 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $500.51 | $910.01 | $109.49 – $109.49 | 1 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $129.83 – $129.83 | 1 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $5,059.34 | $9,198.80 | $546.71 – $13,266.00 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | $5,059.34 | $9,198.80 | $232.18 – $13,266.00 | 6 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $137.60 – $5,925.00 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,310.61 – $9,268.00 | 6 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,958.44 – $9,268.00 | 6 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $294.70 – $5,925.00 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,477.97 – $9,268.00 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,222.56 – $9,268.00 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,968.58 – $9,268.00 | 6 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $985.60 – $5,925.00 | 6 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $12,121.47 | $22,039.04 | $784.18 – $5,925.00 | 6 |
| Event monitor CPT 93270 | not published | not published | $9.13 – $9.13 | 1 |
| Evoked auditory tst complete CPT 92588 | $526.96 | $958.10 | $3.88 – $3.88 | 1 |
| Evoked oa emissions ltd CPT 92587 | $551.98 | $1,003.60 | $3.17 – $3.17 | 1 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $368.04 | $669.16 | $28.98 – $28.98 | 1 |
| Evoked potentials upper limbs CPT 95925 | $1,331.33 | $2,420.60 | $127.12 – $127.12 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | $891.60 | $1,621.10 | $108.57 – $108.57 | 1 |
| Evok oa screening qual CPT 92558 | $129.42 | $235.30 | $9.10 – $9.10 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $96.10 – $3,868.00 | 6 |
| Exam pelvic add-on CPT 99459 | not published | not published | $21.63 – $21.63 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $111.72 – $3,935.00 | 7 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $560.92 – $3,935.00 | 7 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $721.95 – $11,867.00 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $456.79 – $11,867.00 | 6 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $586.70 – $5,560.00 | 7 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $692.97 – $11,867.00 | 7 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $420.45 – $11,867.00 | 7 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $339.73 – $3,935.00 | 7 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,071.39 – $6,335.00 | 7 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,622.43 – $8,785.00 | 7 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $376.98 – $3,935.00 | 7 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $770.03 – $11,867.00 | 6 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $310.27 – $4,510.00 | 7 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $2,753.46 | $5,006.30 | $234.44 – $3,886.00 | 7 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $3,211.78 | $5,839.60 | $335.80 – $3,935.00 | 7 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,569.00 | $4,670.90 | $185.77 – $3,935.00 | 7 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,601.60 | $2,912.00 | $81.95 – $3,886.00 | 7 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,330.62 | $2,419.30 | $104.61 – $3,886.00 | 7 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $2,202.20 | $4,004.00 | $149.24 – $3,886.00 | 7 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,385.96 | $4,338.10 | $183.31 – $3,886.00 | 7 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,927.64 | $3,504.80 | $112.83 – $3,886.00 | 7 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,385.96 | $4,338.10 | $162.09 – $3,886.00 | 7 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $2,753.46 | $5,006.30 | $284.50 – $3,935.00 | 7 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,556.56 | $2,830.10 | $106.19 – $3,886.00 | 7 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $2,048.48 | $3,724.50 | $151.56 – $3,886.00 | 7 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $322.30 – $4,510.00 | 7 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,478.29 – $4,510.00 | 6 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $583.07 – $6,335.00 | 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.