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 |
|---|---|---|---|---|
| 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 spinal cyst CPT 63172 | not published | not published | $1,529.14 – $11,867.00 | 6 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,862.66 – $11,867.00 | 6 |
| 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 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.30 – $2.30 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $413.81 – $4,510.00 | 6 |
| Drain ovary abscess open CPT 58820 | not published | not published | $318.70 – $4,510.00 | 7 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,150.72 – $4,510.00 | 6 |
| Drain penis lesion CPT 54015 | not published | not published | $317.71 – $5,560.00 | 7 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $705.68 – $4,510.00 | 7 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $227.57 – $4,510.00 | 7 |
| Drain shoulder lesion CPT 23030 | not published | not published | $265.22 – $3,886.00 | 7 |
| Drain thigh/knee lesion 27301 CPT 27301 | $2,418.13 | $4,396.60 | $513.24 – $4,510.00 | 7 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $147.90 – $3,886.00 | 7 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $776.59 – $4,510.00 | 6 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $424.71 | $772.20 | $115.93 – $3,935.00 | 7 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $422.56 | $768.30 | $55.67 – $3,868.00 | 6 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $691.40 | $1,257.10 | $136.98 – $3,935.00 | 7 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $698.56 | $1,270.10 | $49.41 – $3,868.00 | 6 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $37.77 – $71.50 | 2 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $974.11 – $4,510.00 | 6 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $762.90 | $1,387.10 | $340.74 – $4,510.00 | 6 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $65,758.12 – $65,758.12 | 1 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $92.05 – $3,886.00 | 5 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $87.41 – $3,886.00 | 5 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $813.30 – $4,510.00 | 6 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $444.92 – $3,935.00 | 7 |
| Drng of eyelid abscess 67700 CPT 67700 | $823.68 | $1,497.60 | $117.74 – $3,868.00 | 6 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,412.84 | $2,568.80 | $190.26 – $3,886.00 | 7 |
| Drng of hydrocele 55000 CPT 55000 | $1,105.39 | $2,009.80 | $88.57 – $3,868.00 | 6 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $234.41 – $3,935.00 | 7 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $305.26 – $4,510.00 | 7 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $505.72 – $3,935.00 | 7 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $434.02 – $3,886.00 | 7 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $438.61 – $3,886.00 | 7 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $232.04 – $4,510.00 | 7 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $172.19 – $3,886.00 | 7 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,153.78 – $4,510.00 | 6 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,049.93 – $4,510.00 | 6 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $718.51 – $4,510.00 | 6 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,672.82 – $4,510.00 | 6 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $159.81 – $3,886.00 | 7 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $129.99 – $3,886.00 | 7 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.95 – $2.51 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $6.23 – $14.16 | 2 |
| Drop lock knee HCPCS L2182 | not published | not published | $75.28 – $75.28 | 1 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $23.16 – $23.16 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $541.17 | $983.95 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $23.17 – $23.17 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $11.05 – $22.04 | 2 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $4.61 – $4.61 | 1 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $12.80 – $12.80 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $9.29 – $9.29 | 1 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $87.33 – $87.33 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $37.77 – $94.61 | 2 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $79.18 – $79.18 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $233.92 | $425.30 | $102.38 – $540.00 | 2 |
| Drug assay caffeine CPT 80155 | $34.65 | $63.00 | $19.64 – $74.98 | 3 |
| Drug assay posaconazole CPT 80187 | $78.65 | $143.00 | $27.11 – $52.69 | 3 |
| Drug assay rufinamide CPT 80210 | $39.05 | $71.00 | $27.11 – $52.69 | 3 |
| Drug assay vedolizumab CPT 80280 | $312.95 | $569.00 | $38.57 – $74.98 | 3 |
| Drug assay voriconazole CPT 80285 | $127.60 | $232.00 | $27.11 – $52.69 | 3 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $24.24 | 3 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.60 – $24.32 | 3 |
| Drug screening tapentadol CPT 80372 | $33.00 | $60.00 | $24.08 – $24.08 | 1 |
| Drug screen quant tiagabine CPT 80199 | $95.70 | $174.00 | $25.07 – $52.69 | 3 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $24.08 – $24.08 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $169.37 – $387.75 | 3 |
| Drug test def 1-7 classes HCPCS G0480 | $210.65 | $383.00 | $81.55 – $223.60 | 3 |
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.