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 |
|---|---|---|---|---|
| ER Visit (level 4) CPT 99284 | $1,485.06 | $2,700.10 | $121.41 – $121.41 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $2,408.84 | $4,379.70 | $179.82 – $179.82 | 1 |
| Erwinaze injection HCPCS J9019 | not published | not published | $6.89 – $6.89 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $10.60 – $119.87 | 2 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $85.09 – $4,510.00 | 6 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,277.00 – $2,624.00 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.33 – $0.81 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.33 – $0.40 | 2 |
| Esophageal dilat s&i CPT 74360 | $1,127.35 | $2,049.72 | $139.49 – $139.49 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $123.28 – $4,510.00 | 6 |
| Esophageal motility CPT 78258 | not published | not published | $187.71 – $678.82 | 3 |
| Esophageal recording CPT 93615 | $1,519.08 | $2,761.96 | $14.24 – $7,786.00 | 4 |
| Esophageal recording CPT 93616 | $1,439.49 | $2,617.25 | $176.33 – $7,786.00 | 4 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $1,486.00 – $2,624.00 | 2 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,403.22 – $4,510.00 | 6 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,424.07 – $4,510.00 | 6 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $212.19 – $6,335.00 | 6 |
| Esophagosc flex trnsn biopsy CPT 43198 | $1,904.10 | $3,462.00 | $104.51 – $4,510.00 | 6 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $263.31 – $4,510.00 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $210.08 – $11,867.00 | 6 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $178.76 – $3,935.00 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $132.76 – $3,886.00 | 7 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $184.29 – $3,935.00 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $116.81 – $3,886.00 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $99.04 – $3,886.00 | 7 |
| Esophagoscopy flex dx brush CPT 43197 | $1,353.00 | $2,460.00 | $87.09 – $4,510.00 | 7 |
| Esophagoscopy flex remove fb CPT 43215 | $1,306.80 | $2,376.00 | $157.92 – $2,939.00 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $219.44 – $11,867.00 | 6 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $151.18 – $3,886.00 | 7 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $284.39 – $6,335.00 | 6 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $194.88 – $6,335.00 | 6 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $160.79 – $4,510.00 | 7 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $585.30 – $11,867.00 | 6 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $178.95 – $3,886.00 | 7 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $219.11 – $3,935.00 | 7 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $206.50 – $6,335.00 | 6 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $178.21 – $6,335.00 | 6 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $178.56 – $6,335.00 | 7 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $201.70 – $6,335.00 | 6 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,379.40 – $4,510.00 | 6 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $157.36 – $3,886.00 | 7 |
| Esophagus motility study CPT 91010 | $1,716.72 | $3,121.30 | $108.19 – $1,486.00 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $385.44 – $540.00 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $171.90 – $3,935.00 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $146.23 – $3,886.00 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $857.98 – $9,268.00 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,200.62 – $9,268.00 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $14.37 – $540.00 | 2 |
| Esoph imped function test CPT 91037 | $413.27 | $751.40 | $109.24 – $540.00 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | $698.56 | $1,270.10 | $392.44 – $540.00 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $148.77 – $6,335.00 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $152.64 – $3,886.00 | 7 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $116.44 – $3,886.00 | 7 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $463.02 – $463.02 | 1 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $242.54 – $242.54 | 1 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $485.55 – $485.55 | 1 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $557.43 – $557.43 | 1 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $187.34 – $187.34 | 1 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $535.93 – $535.93 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $302.19 – $302.19 | 1 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $807.35 – $807.35 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $961.31 – $961.31 | 1 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $836.84 – $836.84 | 1 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $327.17 – $327.17 | 1 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $444.52 – $444.52 | 1 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $243.64 – $243.64 | 1 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $467.77 – $467.77 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $289.72 – $289.72 | 1 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $659.36 – $659.36 | 1 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $15.59 – $15.59 | 1 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $18.48 – $18.48 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $7.96 – $7.96 | 1 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $15.94 – $15.94 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $443.53 – $11,867.00 | 7 |
| Establish access to aorta CPT 36160 | $1,191.04 | $2,165.53 | $131.67 – $3,868.00 | 4 |
| Establish access to artery CPT 36100 | $1,547.98 | $2,814.50 | $164.58 – $3,868.00 | 4 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,119.01 – $4,510.00 | 6 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,727.65 – $4,510.00 | 6 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $616.27 – $4,510.00 | 6 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,045.60 – $4,510.00 | 6 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,484.80 – $4,510.00 | 6 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,097.47 – $4,510.00 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $97.35 | $177.00 | $9.43 – $9.43 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $114.40 | $208.00 | $26.09 – $2,109.00 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $134.75 | $245.00 | $51.81 – $3,158.00 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $154.55 | $281.00 | $80.10 – $3,868.00 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $195.25 | $355.00 | $113.81 – $4,382.00 | 2 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $187.72 – $3,886.00 | 5 |
| Estradiol total CPT 82670 | $302.50 | $550.00 | $27.94 – $54.72 | 3 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.96 – $13.45 | 2 |
| Estrogens total-sendout CPT 82672 | $56.10 | $102.00 | $21.70 – $42.56 | 3 |
| Etanercept injection HCPCS J1438 | not published | not published | $22.27 – $1,304.79 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $188.05 – $944.13 | 3 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $125.17 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $911.12 – $4,510.00 | 7 |
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.