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 |
|---|---|---|---|---|
| Extensive prostate surgery CPT 55840 | not published | not published | $1,218.62 – $4,510.00 | 6 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,217.52 – $4,510.00 | 6 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,419.24 – $4,510.00 | 6 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,147.69 – $14,718.00 | 6 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,388.67 – $14,718.00 | 6 |
| Extensive removal of liver CPT 47122 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Extensive sternum surgery CPT 21632 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,035.13 – $4,510.00 | 6 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,425.43 – $4,510.00 | 6 |
| Extensive surgery of throat CPT 42845 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Extensive testis surgery CPT 54535 | not published | not published | $773.29 – $4,510.00 | 6 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,754.85 – $4,510.00 | 6 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,435.67 – $5,082.00 | 6 |
| External cannula declotting CPT 36860 | $1,279.62 | $2,326.59 | $115.39 – $13,266.00 | 7 |
| External chromosome analysis 20-25 cells CPT 88264 | $367.40 | $668.00 | $144.61 – $282.37 | 3 |
| External ocular photography CPT 92285 | $101.00 | $183.63 | $17.18 – $17.18 | 1 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $24.67 – $68.90 | 3 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,488.15 – $7,560.34 | 3 |
| External recharg sys extern HCPCS L8695 | not published | not published | $12.18 – $12.18 | 1 |
| External recharg sys intern HCPCS L8689 | not published | not published | $1,259.43 – $1,259.43 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $372.35 | $677.00 | $143.75 – $280.34 | 3 |
| Extnd color vision xm CPT 92283 | not published | not published | $45.88 – $45.88 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $142.45 | $259.00 | $17.93 – $35.13 | 3 |
| Extraction erupted tooth/exr HCPCS D7140 | $1,556.02 | $2,829.13 | $77.16 – $4,510.00 | 5 |
| Extraction of lens CPT 66930 | not published | not published | $869.16 – $6,335.00 | 7 |
| Extraction of lens CPT 66940 | not published | not published | $793.39 – $6,335.00 | 7 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $765.29 – $5,560.00 | 7 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $135.69 – $135.69 | 1 |
| Eye allergy tests CPT 95060 | not published | not published | $34.68 – $34.68 | 1 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $28.51 – $1,486.00 | 3 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $312.92 – $3,886.00 | 5 |
| Eye suture during surgery CPT 67335 | not published | not published | $152.65 – $3,886.00 | 5 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $342.48 | 3 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $551.90 | 3 |
| F-18 fdg pet diag HCPCS A9552 | $1,076.50 | $1,957.28 | $321.26 – $321.26 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,914.55 – $3,621.12 | 2 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $442.89 – $504.29 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,171.34 | 3 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $295.93 – $295.93 | 1 |
| Face bone graft CPT 21210 | not published | not published | $906.47 – $8,785.00 | 7 |
| Facial bones <3 CPT 70140 | $303.46 | $551.75 | $18.58 – $145.62 | 3 |
| Facial nerve function test CPT 92516 | not published | not published | $23.17 – $23.17 | 1 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $2,147.00 – $2,147.00 | 1 |
| Factor ix CPT 85250 | $144.10 | $262.00 | $19.04 – $37.15 | 3 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $1.85 – $6.67 | 3 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.57 – $3.15 | 3 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.27 – $9.87 | 3 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.56 – $2.59 | 3 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $5.32 – $8.28 | 3 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.82 – $3.13 | 2 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $2.00 – $3.43 | 3 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.86 – $4.40 | 2 |
| Factor viii CPT 85240 | $114.40 | $208.00 | $17.90 – $35.13 | 3 |
| Factor viii HCPCS J7190 | not published | not published | $1.31 – $2.01 | 3 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.66 – $4.50 | 3 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.37 – $2.07 | 3 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.50 – $3.89 | 3 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.33 – $2.99 | 3 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.77 – $2.85 | 3 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $1.75 – $5.99 | 3 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $2.17 – $19.95 | 3 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $12.67 – $33.68 | 3 |
| Fallopian tube recnl CPT 58345 | not published | not published | $286.50 – $4,510.00 | 6 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $33.89 – $33.89 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $103.91 – $103.91 | 1 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $108.32 – $108.32 | 1 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.02 | 2 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $34.85 – $47.54 | 3 |
| Fancc gene CPT 81242 | $191.40 | $348.00 | $36.62 – $71.60 | 3 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $945.04 – $4,510.00 | 6 |
| Fat/lipids feces qualitative CPT 82705 | $150.70 | $274.00 | $4.79 – $10.14 | 3 |
| Fatty acids nonesterified CPT 82725 | $37.40 | $68.00 | $9.71 – $36.48 | 3 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $121.84 – $121.84 | 1 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $8.78 | 3 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $1.34 – $118.42 | 3 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $77.59 – $2,109.00 | 3 |
| #fecal-sodium CPT 84302 | $50.05 | $91.00 | $4.79 – $9.46 | 3 |
| Feeding tube reposition CPT 74355 | not published | not published | $116.04 – $116.04 | 1 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $42.71 – $42.71 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $103.50 – $103.50 | 1 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $30.25 | $55.00 | $18.64 – $36.48 | 3 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $2,961.38 – $2,961.38 | 1 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $256.17 – $4,510.00 | 6 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $56.52 – $56.52 | 1 |
| Fem/popl revasc w/stent CPT 37226 | $24,424.26 | $44,407.75 | $577.27 – $13,266.00 | 6 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $8.86 – $8.86 | 1 |
| Feno poc CPT 95012 | $105.82 | $192.40 | $19.28 – $19.28 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $1.12 – $2.04 | 2 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $18.91 | 3 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.32 – $2.05 | 3 |
| Ferritin CPT 82728 | $78.10 | $142.00 | $13.63 – $26.34 | 3 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.36 – $0.63 | 3 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.36 – $0.63 | 3 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $810.98 | 2 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $726.44 | $1,320.80 | $66.18 – $196.15 | 3 |
| Fetal chrmoml microdeltj CPT 81422 | $1,720.95 | $3,129.00 | $759.05 – $1,481.41 | 3 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,702.80 | $3,096.00 | $759.05 – $1,481.41 | 3 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $33.63 – $3,868.00 | 6 |
| Fetal cord puncture prenatal CPT 59012 | $492.64 | $895.70 | $214.92 – $3,868.00 | 6 |
| Fetal fibronectin CPT 82731 | $336.05 | $611.00 | $64.41 – $125.65 | 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.