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 |
|---|---|---|---|---|
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $844.47 – $4,510.00 | 6 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $616.81 – $4,510.00 | 6 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $166.95 – $4,510.00 | 6 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $803.66 – $5,560.00 | 7 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $620.62 – $4,510.00 | 7 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $763.66 – $3,935.00 | 7 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $544.23 – $4,510.00 | 7 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $766.37 – $4,510.00 | 7 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $897.37 – $4,510.00 | 7 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $643.38 – $4,510.00 | 7 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $672.76 – $4,510.00 | 7 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $444.76 – $4,510.00 | 7 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $608.54 – $3,935.00 | 7 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $965.51 – $4,510.00 | 7 |
| Exc excessive skin hip CPT 15834 | not published | not published | $914.47 – $4,510.00 | 7 |
| Exc excessive skin leg CPT 15833 | not published | not published | $897.82 – $4,510.00 | 7 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $942.90 – $4,510.00 | 7 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $767.64 – $4,510.00 | 6 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $589.07 – $4,510.00 | 6 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $5,047.18 | $9,176.70 | $332.06 – $3,886.00 | 7 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $414.25 – $3,935.00 | 7 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $538.14 – $3,935.00 | 6 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $160.85 – $3,886.00 | 7 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $238.35 – $3,886.00 | 7 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $475.65 – $6,026.00 | 6 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $271.41 – $3,935.00 | 7 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $440.39 – $11,867.00 | 6 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $532.59 – $4,510.00 | 7 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $550.30 – $11,867.00 | 6 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $341.34 – $3,935.00 | 7 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $563.99 – $11,867.00 | 6 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $542.22 – $3,935.00 | 7 |
| Exchange biliary drg cath CPT 47536 | $3,092.38 | $5,622.50 | $154.69 – $11,867.00 | 6 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $124.20 – $3,868.00 | 6 |
| Exchange drainage catheter CPT 49423 | $2,263.69 | $4,115.80 | $76.66 – $4,510.00 | 7 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $921.45 – $7,392.00 | 7 |
| Exchange nephrostomy cath CPT 50435 | $2,724.15 | $4,953.00 | $105.95 – $4,510.00 | 6 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $247.44 – $3,935.00 | 7 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $356.54 – $3,935.00 | 7 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $288.87 – $3,935.00 | 7 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $633.56 – $4,510.00 | 7 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $779.85 – $11,867.00 | 6 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $77.19 – $1,486.00 | 2 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $68.16 – $1,486.00 | 2 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $124.82 – $1,486.00 | 2 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $688.36 – $8,785.00 | 7 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $359.26 – $4,510.00 | 7 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $721.06 – $11,867.00 | 7 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,690.85 – $5,560.00 | 7 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $723.69 – $4,510.00 | 7 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $930.36 – $4,510.00 | 7 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $924.85 – $4,510.00 | 7 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,007.06 – $5,560.00 | 7 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $123.49 – $3,886.00 | 7 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $940.04 – $4,510.00 | 6 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $376.15 – $3,935.00 | 7 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $283.51 – $3,935.00 | 7 |
| Excise inferior turbinate CPT 30130 | not published | not published | $387.15 – $4,510.00 | 7 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $894.17 – $4,510.00 | 6 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,782.47 – $11,867.00 | 6 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,457.43 – $11,867.00 | 6 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,551.20 – $11,867.00 | 6 |
| Excise lesion testis CPT 54512 | not published | not published | $561.93 – $3,935.00 | 7 |
| Excise lip or cheek fold CPT 40819 | $3,372.66 | $6,132.10 | $250.24 – $3,886.00 | 7 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,380.81 – $3,935.00 | 7 |
| Excise mandible lesion CPT 21040 | not published | not published | $435.17 – $3,935.00 | 7 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $433.40 – $4,510.00 | 6 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,211.93 – $4,510.00 | 7 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $285.29 – $3,886.00 | 7 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $649.82 – $4,510.00 | 7 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,106.11 – $8,785.00 | 7 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,243.23 – $8,785.00 | 7 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $874.75 – $8,785.00 | 7 |
| Excise pharynx lesion CPT 42808 | not published | not published | $169.63 – $3,935.00 | 7 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $208.27 – $4,510.00 | 6 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Excise sublingual gland CPT 42450 | not published | not published | $375.10 – $3,935.00 | 7 |
| Excise submaxillary gland CPT 42440 | not published | not published | $430.84 – $4,510.00 | 7 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $342.39 – $8,785.00 | 7 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $552.98 – $4,510.00 | 6 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $390.43 – $3,935.00 | 7 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $170.46 – $3,886.00 | 5 |
| Excision aural polyp CPT 69540 | $1,157.58 | $2,104.70 | $130.30 – $4,510.00 | 6 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $2,019.16 | $3,671.20 | $134.71 – $3,886.00 | 7 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,019.16 | $3,671.20 | $138.87 – $3,886.00 | 7 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,884.74 | $3,426.80 | $117.08 – $3,886.00 | 7 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,375.23 | $4,318.60 | $255.10 – $3,935.00 | 7 |
| Excision breast lesion CPT 19125 | not published | not published | $476.15 – $4,510.00 | 7 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $230.23 – $3,886.00 | 7 |
| Excision graft extremity CPT 35903 | not published | not published | $605.69 – $4,510.00 | 6 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,898.74 – $4,510.00 | 6 |
| Excision gum each quadrant CPT 41820 | not published | not published | $253.85 – $3,868.00 | 6 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $689.39 – $5,560.00 | 7 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $188.20 – $3,935.00 | 6 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $362.91 – $3,935.00 | 7 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $1,291.29 | $2,347.80 | $134.71 – $4,510.00 | 7 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $140.93 – $3,886.00 | 7 |
| Excision of gum flap CPT 41821 | not published | not published | $57.57 – $3,868.00 | 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.