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 |
|---|---|---|---|---|
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $219.56 – $482.32 | 3 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $125.46 – $305.34 | 3 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $121.59 | 3 |
| Drug test prsmv instrmnt CPT 80306 | $108.90 | $198.00 | $17.14 – $33.77 | 3 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $302.50 | $550.00 | $62.14 – $121.59 | 3 |
| Drvvt confirm - quest CPT 85597 | $32.45 | $59.00 | $17.98 – $35.13 | 3 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $579.16 – $3,886.00 | 7 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,056.91 | $7,376.20 | $1,486.00 – $2,939.00 | 6 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $217.51 – $3,868.00 | 6 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $184.91 – $3,868.00 | 6 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $216.77 – $3,868.00 | 6 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $292.55 – $3,868.00 | 6 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $852.07 – $1,716.00 | 3 |
| Ductogram sgl duct CPT 77053 | not published | not published | $39.23 – $414.23 | 3 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,888.42 – $4,510.00 | 6 |
| Duodenal motility study CPT 91022 | $1,170.46 | $2,128.10 | $93.49 – $1,486.00 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $229.15 – $434.11 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $110.83 – $255.22 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $363.94 | $661.70 | $131.30 – $252.53 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $146.73 – $271.31 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,345.63 | $2,446.60 | $168.08 – $322.65 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $57.68 – $157.90 | 3 |
| Dxa bone density axl vrt fx CPT 77085 | $464.75 | $845.00 | $40.28 – $196.15 | 3 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $328.44 | $597.16 | $63.62 – $63.62 | 1 |
| Dx aly aud oi snd prcsr each CPT 92623 | $328.44 | $597.16 | $16.88 – $16.88 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,425.60 | $2,592.00 | $153.49 – $3,935.00 | 7 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,247.30 | $4,086.00 | $154.89 – $3,935.00 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,710.40 | $4,928.00 | $152.40 – $3,886.00 | 7 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $49.04 – $49.04 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $54.41 – $2,939.00 | 6 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $83.06 – $2,939.00 | 6 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $37.68 – $2,939.00 | 6 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $65.15 – $2,939.00 | 6 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $34.66 – $34.66 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $92.77 – $92.77 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $30.37 – $30.37 | 1 |
| Dx laryngoscopy newborn CPT 31520 | $744.15 | $1,353.00 | $164.10 – $3,868.00 | 6 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $164.47 – $3,935.00 | 7 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $59.09 – $59.09 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $121.23 – $4,510.00 | 6 |
| Dynamic surface emg CPT 96002 | not published | not published | $22.45 – $22.45 | 1 |
| Ear and throat examination CPT 92502 | $556.13 | $1,011.14 | $99.01 – $3,868.00 | 3 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $65.78 – $4,510.00 | 6 |
| Ear cartilage graft CPT 21235 | $5,112.80 | $9,296.00 | $585.79 – $8,785.00 | 7 |
| Ear irrigation 69209 CPT 69209 | $319.00 | $580.00 | $12.58 – $2,109.00 | 6 |
| Ear protector evaluation CPT 92596 | not published | not published | $41.33 – $41.33 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $0.14 – $1,075.84 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $270.60 | $492.00 | $8.43 – $8.43 | 1 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $7.27 – $7.27 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $152.35 | $277.00 | $5.63 – $5.63 | 1 |
| Ecg < 30 days transmission & analysis CPT 93271 | $211.20 | $384.00 | $168.08 – $168.08 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $451.00 | $820.00 | $26.63 – $26.63 | 1 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $520.30 | $946.00 | $37.48 – $37.48 | 1 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $80.30 | $146.00 | $15.25 – $15.25 | 1 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $130.35 | $237.00 | $15.25 – $15.25 | 1 |
| Ecg record/review CPT 93268 | not published | not published | $203.33 – $203.33 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $26.11 – $26.11 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,398.00 | $4,360.00 | $161.43 – $161.43 | 1 |
| Echocardiography doppler color flow mapping CPT 93325 | $899.47 | $1,635.40 | $22.43 – $22.43 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $684.45 – $684.45 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $773.85 | $1,407.00 | $97.35 – $97.35 | 1 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,092.52 | $1,986.40 | $463.18 – $463.18 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $363.22 | $660.40 | $19.98 – $19.98 | 1 |
| Echo exam of eye CPT 76516 | $203.78 | $370.50 | $46.93 – $196.15 | 3 |
| Echo exam of eye CPT 76519 | $289.58 | $526.50 | $52.54 – $196.15 | 3 |
| Echo exam of eye CPT 76529 | not published | not published | $46.59 – $145.62 | 3 |
| Echo exam of eye thickness CPT 76514 | $97.24 | $176.80 | $5.27 – $44.41 | 3 |
| Echo exam of fetal heart CPT 76825 | $1,766.05 | $3,211.00 | $189.79 – $869.20 | 3 |
| Echo exam of fetal heart CPT 76826 | $1,261.26 | $2,293.20 | $120.80 – $414.23 | 3 |
| Echo exam of fetal heart CPT 76827 | $656.37 | $1,193.40 | $46.59 – $196.15 | 3 |
| Echo exam of fetal heart CPT 76828 | $496.92 | $903.50 | $24.88 – $196.15 | 3 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $80.54 – $414.23 | 3 |
| Echograp trans r pros study CPT 76873 | not published | not published | $87.54 – $199.21 | 3 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $23.13 – $23.13 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $21.38 – $295.82 | 2 |
| Echo guide for amniocentesis CPT 76946 | $513.37 | $933.40 | $12.98 – $12.98 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $170.53 – $476.01 | 3 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $67.86 – $67.86 | 1 |
| Echo guide for transfusion CPT 76941 | $1,480.05 | $2,691.00 | $67.45 – $67.45 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $12.98 – $12.98 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $67.45 – $67.45 | 1 |
| Echo stress CPT 93350 | not published | not published | $166.68 – $166.68 | 1 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $39.37 – $39.37 | 1 |
| Echo tee guidance CPT 93355 | $4,839.12 | $8,798.40 | $233.60 – $233.60 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $3,186.04 | $5,792.80 | $181.40 – $181.40 | 1 |
| Echo transesophageal CPT 93313 | not published | not published | $23.35 – $23.35 | 1 |
| Echo transesophageal CPT 93314 | not published | not published | $191.91 – $191.91 | 1 |
| Echo transesophageal CPT 93315 | $2,598.31 | $4,724.20 | $144.77 – $144.77 | 1 |
| Echo transesophageal CPT 93317 | not published | not published | $211.97 – $211.97 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $310.52 – $310.52 | 1 |
| Echo transthoracic CPT 93303 | $1,637.35 | $2,977.00 | $171.23 – $171.23 | 1 |
| Echo transthoracic CPT 93304 | $1,146.20 | $2,084.00 | $116.60 – $116.60 | 1 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $83.69 – $83.69 | 1 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $2,867.22 | $5,213.12 | $251.59 – $4,510.00 | 6 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $11,079.23 | $20,144.05 | $258.50 – $4,510.00 | 6 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $4,957.24 | $9,013.17 | $361.76 – $4,510.00 | 6 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $4,450.66 | $8,092.10 | $327.50 – $4,510.00 | 6 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $945.60 – $4,510.00 | 6 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $896.60 – $4,510.00 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $9,059.79 | $16,472.34 | $524.33 – $4,510.00 | 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.