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 |
|---|---|---|---|---|
| Aluminum - quest CPT 82108 | $81.40 | $148.00 | $25.48 – $49.99 | 3 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $270.21 – $4,510.00 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $421.85 | $767.00 | $42.80 – $42.80 | 1 |
| Amantadine (symmetrel)-sendout CPT 80375 | $187.55 | $341.00 | $24.08 – $24.08 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $5.27 – $5.27 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.72 – $1.17 | 2 |
| Amino acid screen, urine CPT 82128 | $35.75 | $65.00 | $13.87 – $27.02 | 3 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $27.69 | 3 |
| Amino acids quant 2-5 CPT 82136 | $47.85 | $87.00 | $19.61 – $38.50 | 3 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.74 – $3.18 | 2 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $2.10 – $3.33 | 3 |
| Aminolevulinic acid delta CPT 82135 | $152.35 | $277.00 | $16.45 – $32.42 | 3 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $457.48 – $727.33 | 3 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $0.73 – $19.18 | 2 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $0.60 – $4.83 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.51 – $0.79 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | $242.55 | $441.00 | $24.08 – $24.08 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $2.29 – $35.57 | 3 |
| Ammonia CPT 82140 | $77.55 | $141.00 | $14.57 – $28.38 | 3 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,743.88 | $3,170.70 | $85.28 – $4,510.00 | 6 |
| Amniocentesis therapeutic CPT 59001 | $825.82 | $1,501.50 | $190.43 – $4,510.00 | 6 |
| Amniotic fluid scan CPT 82143 | $78.65 | $143.00 | $9.35 – $18.24 | 3 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $5,397.54 | $9,813.70 | $648.73 – $5,560.00 | 7 |
| Amphetamine confirm urine -sendout CPT 80324 | $117.70 | $214.00 | $24.08 – $24.08 | 1 |
| Amphetamines 5 or more CPT 80326 | $95.15 | $173.00 | $9.16 – $9.16 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $3.07 – $80.53 | 2 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.71 – $19.10 | 3 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $0.01 – $39.85 | 3 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.57 – $1.01 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.73 – $2.58 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $268.28 | 2 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $451.08 – $3,935.00 | 7 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $757.50 – $4,510.00 | 6 |
| Amputate hand at wrist CPT 25922 | not published | not published | $632.16 – $4,510.00 | 7 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $723.82 – $4,510.00 | 7 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $849.97 – $5,082.00 | 6 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $529.51 – $4,510.00 | 7 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $635.22 – $4,510.00 | 7 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $711.41 – $4,510.00 | 6 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $567.64 – $4,510.00 | 7 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $765.31 – $4,510.00 | 6 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $529.42 – $4,510.00 | 7 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $606.91 – $4,510.00 | 7 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $973.07 – $5,082.00 | 6 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $694.44 – $4,510.00 | 6 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $684.79 – $4,510.00 | 7 |
| Amputation of lower leg CPT 27882 | not published | not published | $634.76 – $4,510.00 | 6 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $568.18 – $4,510.00 | 6 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $767.57 – $4,510.00 | 6 |
| Amputation toe interphalangeal joint CPT 28825 | $4,721.14 | $8,583.90 | $385.98 – $3,935.00 | 7 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $412.12 – $3,935.00 | 7 |
| Amylase CPT 82150 | $61.60 | $112.00 | $6.48 – $12.83 | 3 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $58.42 – $94.03 | 2 |
| Ana ds-dna CPT 86226 | $216.15 | $393.00 | $12.11 – $23.65 | 3 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $121.00 | $220.00 | $24.08 – $24.08 | 1 |
| Anal pressure record CPT 91122 | $1,018.16 | $1,851.20 | $134.12 – $540.00 | 2 |
| Anal/urinary muscle study CPT 51784 | $384.67 | $699.40 | $113.10 – $3,868.00 | 6 |
| Anal/urinary muscle study CPT 51785 | $732.88 | $1,332.50 | $165.63 – $3,886.00 | 7 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $55.32 – $55.32 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $153.45 | $279.00 | $65.69 – $128.34 | 3 |
| Analysis gene f5 leiden variant CPT 81241 | $184.25 | $335.00 | $73.37 – $143.21 | 3 |
| Analysis nerve CPT 88356 | not published | not published | $49.76 – $234.16 | 3 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $135.14 | $245.70 | $42.21 – $42.21 | 1 |
| Analysis tumor CPT 88358 | not published | not published | $38.18 – $179.62 | 3 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $429.72 | $781.30 | $41.70 – $41.70 | 1 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $33.00 | $60.00 | $35.09 – $35.80 | 2 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,055.15 – $4,510.00 | 6 |
| Anca screen with reflex to titer -quest CPT 86021 | $271.70 | $494.00 | $3.41 – $29.05 | 3 |
| An cholangiogram percutaneous compl CPT 47531 | $3,861.00 | $7,020.00 | $100.36 – $3,868.00 | 6 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $56.07 | 3 |
| An fluoro guide for cvp CPT 77001 | $900.90 | $1,638.00 | $50.43 – $50.43 | 1 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $15,362.40 | $27,931.63 | $131.61 – $13,266.00 | 5 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $11,396.19 | $20,720.35 | $491.52 – $13,266.00 | 6 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $11,503.46 | $20,915.38 | $446.06 – $13,266.00 | 6 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $7,166.31 | $13,029.65 | $217.77 – $13,266.00 | 5 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $39.85 | 3 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $11,503.46 | $20,915.38 | $600.00 – $13,266.00 | 6 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $7,543.48 | $13,715.42 | $185.99 – $13,266.00 | 5 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $12,793.46 | $23,260.84 | $375.14 – $13,266.00 | 5 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $14,392.82 | $26,168.76 | $158.26 – $13,266.00 | 5 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $7,459.04 | $13,561.90 | $322.61 – $13,266.00 | 5 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.56 – $0.96 | 2 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $705.83 – $6,969.00 | 7 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $649.01 – $6,969.00 | 7 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $520.94 – $6,969.00 | 7 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $502.14 – $6,969.00 | 7 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $526.97 – $6,969.00 | 7 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $588.59 – $6,969.00 | 7 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,088.70 – $6,969.00 | 7 |
| Ankle X-ray CPT 73610 | $285.45 | $519.00 | $21.73 – $145.62 | 3 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $601.32 | $1,093.30 | $48.98 – $3,886.00 | 7 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $9.77 – $9.77 | 1 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $34.31 | $62.39 | $92.12 – $92.12 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $100.46 – $100.46 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $34.31 | $62.39 | $101.19 – $101.19 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $122.58 – $122.58 | 1 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.08 – $6.08 | 1 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $83.31 – $83.31 | 1 |
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.