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 |
|---|---|---|---|---|
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.73 – $13.55 | 2 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $61.13 – $61.13 | 1 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $30.55 – $30.55 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $0.18 – $1,442.76 | 2 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $0.01 – $19.75 | 2 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $0.01 – $81.87 | 2 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $414.23 – $487.99 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $335.77 – $414.23 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,294.44 | $4,171.70 | $119.58 – $2,939.00 | 6 |
| Fna bx w/ct gdn ea addl CPT 10010 | $920.20 | $1,673.10 | $86.78 – $2,109.00 | 4 |
| Fna bx w/mr gdn 1st les CPT 10011 | $2,477.48 | $4,504.50 | $489.22 – $2,939.00 | 6 |
| Fna bx w/mr gdn ea addl CPT 10012 | $920.20 | $1,673.10 | $295.49 – $2,109.00 | 4 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $11.23 – $11.23 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $16.92 – $16.92 | 1 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $8.24 – $8.24 | 1 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $8.74 – $8.74 | 1 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $24.94 – $24.94 | 1 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $6.35 – $6.35 | 1 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $7.61 – $7.61 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $37.15 | 3 |
| Folic acid CPT 82746 | $61.60 | $112.00 | $14.70 – $28.38 | 3 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.07 – $0.12 | 2 |
| Follow-up angiography CPT 75898 | $2,245.82 | $4,083.30 | $46.50 – $5,150.99 | 3 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $22.18 – $22.18 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $564.72 – $3,935.00 | 7 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $2.66 – $10.16 | 2 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.67 – $1.34 | 2 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $146.52 – $146.52 | 1 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $55.61 – $55.61 | 1 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $34.31 – $34.31 | 1 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $54.30 – $54.30 | 1 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $152.96 – $152.96 | 1 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $117.69 – $117.69 | 1 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $96.38 – $96.38 | 1 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $126.98 – $126.98 | 1 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $89.26 – $89.26 | 1 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $126.98 – $126.98 | 1 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $144.58 – $144.58 | 1 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $37.07 – $37.07 | 1 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $286.65 – $286.65 | 1 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $185.14 – $185.14 | 1 |
| Foot X-ray CPT 73630 | $326.15 | $593.00 | $19.98 – $145.62 | 3 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $719.25 – $719.25 | 1 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $458.85 – $458.85 | 1 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,043.23 – $4,510.00 | 7 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $584.46 – $764.80 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $11.58 – $49.76 | 3 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $732.88 | $1,332.50 | $59.92 – $3,886.00 | 7 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $0.93 – $5.06 | 2 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.13 – $0.19 | 2 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $18.10 – $63.16 | 3 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $3.18 – $3.18 | 1 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $55.39 | 3 |
| Fracture assessment via dxa CPT 77086 | $346.78 | $630.50 | $26.28 – $145.62 | 3 |
| _fragile x methylation-sendout CPT 81244 | $585.20 | $1,064.00 | $44.89 – $87.82 | 3 |
| Fragmenting of kidney stone CPT 50590 | $14,681.10 | $26,692.90 | $588.81 – $22,242.00 | 7 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $406.44 – $406.44 | 1 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $420.78 – $420.78 | 1 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $507.31 – $507.31 | 1 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $531.85 – $531.85 | 1 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,148.80 – $4,510.00 | 6 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $1,876.20 – $4,510.00 | 6 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Free omental flap microvasc CPT 49906 | not published | not published | $1,876.20 – $4,510.00 | 6 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,685.28 – $4,510.00 | 6 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Frenectomy 41115 CPT 41115 | not published | not published | $152.77 – $3,868.00 | 6 |
| Frenotomy 40806 CPT 40806 | $1,541.65 | $2,803.00 | $34.59 – $3,868.00 | 6 |
| Frenulotomy of penis CPT 54164 | not published | not published | $199.38 – $3,935.00 | 7 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $193.05 | $351.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $135.30 | $246.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $18.85 – $149.16 | 3 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $33.84 – $195.90 | 3 |
| Frozen blood prep CPT 86930 | not published | not published | $109.95 – $291.26 | 3 |
| Frozen blood thaw CPT 86931 | not published | not published | $82.37 – $291.26 | 3 |
| Frozen cell preparation CPT 88241 | $367.40 | $668.00 | $12.09 – $23.65 | 3 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $0.99 – $0.99 | 1 |
| Fructosamine glycated protein CPT 82985 | $76.45 | $139.00 | $16.76 – $32.42 | 3 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $34.31 – $34.31 | 1 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $145.60 – $3,886.00 | 5 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $82.26 – $3,886.00 | 5 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $228.92 – $228.92 | 1 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $2,903.36 | 3 |
| Ftl cgen abnor five anal CPT 81512 | $176.55 | $321.00 | $69.52 – $135.78 | 3 |
| Ftl cgen abnor four anal CPT 81511 | $104.50 | $190.00 | $153.50 – $299.93 | 3 |
| Ftl cgen abnor three anal CPT 81510 | $86.35 | $157.00 | $55.54 – $108.08 | 3 |
| Ftl cgen abnor two proteins CPT 81508 | $114.95 | $209.00 | $54.30 – $106.06 | 3 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $283.85 – $283.85 | 1 |
| Full field erg w/i&r CPT 92273 | not published | not published | $93.73 – $93.73 | 1 |
| Full mouth x-ray of teeth CPT 70320 | $404.18 | $734.88 | $39.94 – $414.23 | 3 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $39.86 – $39.86 | 1 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $883.01 – $3,935.00 | 7 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,584.72 | $4,699.50 | $633.06 – $3,935.00 | 7 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $74.61 – $3,886.00 | 5 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,598.31 | $4,724.20 | $823.57 – $4,510.00 | 7 |
| Functional brain mapping CPT 96020 | not published | not published | $87.18 – $87.18 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | $238.25 | $433.18 | $53.93 – $53.93 | 1 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,242.56 – $1,242.56 | 1 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.03 | 2 |
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.