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 |
|---|---|---|---|---|
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $1.01 – $1.01 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,449.86 – $4,510.00 | 6 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,558.31 – $4,510.00 | 6 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,469.17 – $4,510.00 | 6 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,378.70 – $4,510.00 | 6 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,551.34 – $4,510.00 | 6 |
| Fuse/graft added joint CPT 26863 | not published | not published | $239.38 – $3,886.00 | 5 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,754.31 – $4,510.00 | 6 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,378.88 – $4,510.00 | 6 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,148.51 – $4,510.00 | 6 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,422.39 – $4,510.00 | 6 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $730.74 – $5,560.00 | 7 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $814.40 – $4,510.00 | 7 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,074.36 – $5,560.00 | 7 |
| Fusion of big toe joint CPT 28750 | not published | not published | $615.15 – $5,560.00 | 7 |
| Fusion of big toe joint CPT 28755 | not published | not published | $341.62 – $5,560.00 | 7 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,195.28 – $4,510.00 | 6 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $108.36 – $3,886.00 | 5 |
| Fusion of finger joint CPT 26860 | not published | not published | $565.53 – $4,510.00 | 7 |
| Fusion of finger tendons CPT 26471 | not published | not published | $615.85 – $3,935.00 | 7 |
| Fusion of finger tendons CPT 26474 | not published | not published | $607.11 – $3,935.00 | 7 |
| Fusion of foot bones CPT 28730 | not published | not published | $759.41 – $5,560.00 | 7 |
| Fusion of foot bones CPT 28735 | not published | not published | $813.25 – $5,560.00 | 7 |
| Fusion of foot bones CPT 28740 | not published | not published | $647.32 – $5,560.00 | 7 |
| Fusion of hand joint CPT 26843 | not published | not published | $749.35 – $4,510.00 | 7 |
| Fusion of knee CPT 27580 | not published | not published | $1,495.32 – $4,510.00 | 6 |
| Fusion of knuckle CPT 26850 | not published | not published | $695.50 – $5,560.00 | 7 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $703.43 – $3,886.00 | 7 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $839.73 – $4,510.00 | 7 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $831.16 – $4,510.00 | 7 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $801.79 – $5,560.00 | 7 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $838.43 – $5,560.00 | 7 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,105.38 – $5,560.00 | 7 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $709.70 – $4,510.00 | 7 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $663.07 – $4,510.00 | 7 |
| Fusion of thumb CPT 26841 | not published | not published | $731.06 – $5,560.00 | 7 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $711.00 – $5,560.00 | 7 |
| Fusion of toes CPT 28280 | not published | not published | $359.89 – $3,935.00 | 7 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,465.80 – $4,510.00 | 6 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,284.35 – $4,510.00 | 6 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,200.12 – $4,510.00 | 6 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $536.35 | 3 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $267.51 | 3 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $536.35 | 3 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $361.39 | 3 |
| G0180 home health certification HCPCS G0180 | not published | not published | $54.10 – $54.10 | 1 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $114.16 | 3 |
| G6pd full gene sequence CPT 81249 | $1,320.00 | $2,400.00 | $600.00 – $1,171.34 | 3 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $341.13 | 3 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $732.25 | 3 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $364.97 | $663.58 | $0.01 – $0.01 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $56.67 – $84.30 | 2 |
| Gabapentin non-blood CPT 80355 | $34.65 | $63.00 | $24.08 – $24.08 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.30 – $0.51 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.71 – $2.74 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.14 – $0.21 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $17.07 – $27.32 | 2 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $54.45 | $99.00 | $21.07 – $41.21 | 3 |
| Galactokinase - sendout CPT 82759 | $519.75 | $945.00 | $21.48 – $41.89 | 3 |
| Galactose transferase test CPT 82776 | $37.40 | $68.00 | $11.64 – $22.97 | 3 |
| Galectin-3 CPT 82777 | not published | not published | $30.53 – $86.47 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $688.65 – $22,871.00 | 7 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $6.68 – $7.73 | 2 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $614.08 – $776.84 | 2 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $793.42 – $882.60 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $1,003.68 – $1,711.73 | 2 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $710.97 – $1,441.18 | 2 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $0.01 – $0.01 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $0.01 – $658.70 | 2 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $16.60 – $815.36 | 3 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $56.24 – $90.96 | 3 |
| Gammaglobulin iga CPT 82784 | $121.00 | $220.00 | $7.73 – $18.24 | 3 |
| Gammaglobulin ige CPT 82785 | $87.45 | $159.00 | $16.46 – $32.42 | 3 |
| Gamma glutamyltransferase CPT 82977 | $52.25 | $95.00 | $7.20 – $14.18 | 3 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.13 – $14.60 | 2 |
| Gammaplex injection HCPCS J1557 | not published | not published | $72.56 – $118.13 | 3 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $55.79 – $90.83 | 3 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $46.02 – $73.35 | 2 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $0.01 – $0.01 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $68.23 | 3 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $81.74 | 3 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $12.83 | 3 |
| Gastric emptying imag study CPT 78265 | not published | not published | $323.47 – $678.82 | 3 |
| Gastric emptying imag study CPT 78266 | not published | not published | $428.46 – $880.92 | 3 |
| Gastric motility studies CPT 91020 | $1,527.96 | $2,778.10 | $157.23 – $1,486.00 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $222.37 – $678.82 | 3 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $34.45 | 3 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,070.92 – $4,510.00 | 6 |
| Gastroesophageal reflux study CPT 78262 | $702.35 | $1,277.00 | $214.67 – $678.82 | 3 |
| Gastroesophageal reflux test CPT 91034 | $1,377.09 | $2,503.80 | $136.20 – $540.00 | 2 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,408.90 – $4,510.00 | 6 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,376.73 – $4,510.00 | 6 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $27.98 – $27.98 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,009.00 – $41,313.00 | 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.