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 |
|---|---|---|---|---|
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $5,708.13 | $10,378.42 | $470.05 – $4,510.00 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $9,059.79 | $16,472.34 | $510.91 – $4,510.00 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $5,708.13 | $10,378.42 | $457.27 – $4,510.00 | 6 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $582.61 – $4,510.00 | 6 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $554.86 – $4,510.00 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $309.21 – $4,510.00 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $2,478.97 | $4,507.21 | $209.91 – $4,510.00 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $304.16 – $4,510.00 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $1,297.62 | $2,359.30 | $252.76 – $4,510.00 | 6 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $546.24 – $4,510.00 | 6 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $532.80 – $4,510.00 | 6 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $266.68 – $4,510.00 | 6 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $3,988.35 | $7,251.55 | $209.91 – $4,510.00 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $250.93 – $4,510.00 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $3,988.35 | $7,251.55 | $203.25 – $4,510.00 | 6 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $116.06 – $116.06 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $24.99 | 3 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $649.53 – $3,935.00 | 7 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $52.00 – $60.86 | 2 |
| Eculizumab injection HCPCS J1300 | not published | not published | $369.86 – $567.19 | 2 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $14.22 – $11,887.54 | 3 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.01 – $0.01 | 1 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $25.38 – $25.38 | 1 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $110.22 – $110.22 | 1 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $80.80 | $146.90 | $27.71 – $27.71 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,471.80 | $2,676.00 | $355.74 – $355.74 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,048.30 | $1,906.00 | $54.63 – $54.63 | 1 |
| Eeg during surgery CPT 95955 | not published | not published | $157.55 – $157.55 | 1 |
| Eeg monitoring/function test CPT 95958 | $1,659.90 | $3,018.00 | $351.24 – $351.24 | 1 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $329.17 – $329.17 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $787.60 | $1,432.00 | $296.90 – $296.90 | 1 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $2,512.95 | $4,569.00 | $402.33 – $402.33 | 1 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $215.55 – $215.55 | 1 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $262.17 – $262.17 | 1 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $266.86 – $266.86 | 1 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $334.27 – $334.27 | 1 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $303.62 – $303.62 | 1 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $422.38 – $422.38 | 1 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $214.83 – $214.83 | 1 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $105.71 – $105.71 | 1 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $138.74 – $138.74 | 1 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $163.92 – $163.92 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $883.85 | $1,607.00 | $308.13 – $308.13 | 1 |
| Eeg recording awake and asleep CPT 95819 | $1,043.90 | $1,898.00 | $346.64 – $346.64 | 1 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $1,785.85 | $3,247.00 | $550.34 – $550.34 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $1,304.60 | $2,372.00 | $105.84 – $105.84 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $3,571.70 | $6,494.00 | $899.61 – $899.61 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $3,302.20 | $6,004.00 | $783.18 – $783.18 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $1,650.55 | $3,001.00 | $418.05 – $418.05 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,777.05 | $3,231.00 | $148.17 – $148.17 | 1 |
| E equine encephalitis igg CPT 86652 | $41.25 | $75.00 | $11.68 – $25.67 | 3 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $37.63 – $53.54 | 3 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $250.28 – $6,335.00 | 6 |
| Egd control bleeding any CPT 43255 | $1,959.10 | $3,562.00 | $223.36 – $3,935.00 | 7 |
| Egd dilate stricture CPT 43245 | $931.70 | $1,694.00 | $195.24 – $3,935.00 | 7 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $298.87 – $4,510.00 | 6 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $250.76 – $11,867.00 | 6 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $447.78 – $11,867.00 | 6 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $181.62 – $8,785.00 | 6 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $160.16 – $6,335.00 | 6 |
| Egd guide wire insertion CPT 43248 | not published | not published | $186.03 – $3,935.00 | 7 |
| Egd injection varices CPT 43243 | not published | not published | $262.65 – $3,935.00 | 7 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $159.28 – $3,935.00 | 7 |
| Egd lesion ablation CPT 43270 | not published | not published | $258.21 – $6,335.00 | 6 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $188.66 – $6,335.00 | 6 |
| Egd remove foreign body CPT 43247 | $1,961.30 | $3,566.00 | $197.34 – $3,935.00 | 7 |
| Egd remove lesion snare CPT 43251 | not published | not published | $217.96 – $3,935.00 | 7 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $189.08 – $3,935.00 | 7 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $250.91 – $4,510.00 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $258.62 – $3,935.00 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $291.53 – $3,935.00 | 7 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $291.53 – $6,335.00 | 6 |
| Egd varices ligation CPT 43244 | not published | not published | $272.32 – $3,935.00 | 7 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $257.60 – $4,510.00 | 7 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $430.90 – $3,935.00 | 7 |
| Egfr gene com variants CPT 81235 | not published | not published | $324.58 – $633.63 | 3 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $105.60 | $192.00 | $35.09 – $35.80 | 2 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.04 – $38.50 | 3 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $17.14 – $17.14 | 1 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $17.14 – $17.14 | 1 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $8.71 – $8.71 | 1 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $8.43 – $8.43 | 1 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $2,540.48 – $2,540.48 | 1 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $1,717.89 – $1,717.89 | 1 |
| Elbow arthroscopy CPT 29830 | not published | not published | $473.54 – $6,969.00 | 7 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $501.32 – $6,969.00 | 7 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $522.05 – $6,969.00 | 7 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $599.39 – $6,969.00 | 7 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $541.84 – $6,969.00 | 7 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $606.50 – $6,969.00 | 7 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $2,308.21 – $2,308.21 | 1 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $2,069.85 – $2,069.85 | 1 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $2,382.78 – $2,382.78 | 1 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $1,860.12 – $1,860.12 | 1 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $455.38 – $455.38 | 1 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $546.47 – $546.47 | 1 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $2,163.54 – $2,163.54 | 1 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $750.04 | $1,363.70 | $36.61 – $3,935.00 | 6 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $17,444.43 – $17,444.43 | 1 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $17,523.17 – $17,523.17 | 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.