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 |
|---|---|---|---|---|
| Gastrostomy open neonatal CPT 43831 | not published | not published | $620.98 – $4,510.00 | 6 |
| Gated heart multiple CPT 78473 | not published | not published | $222.72 – $678.82 | 3 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.06 – $2.06 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.19 – $2.19 | 1 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $1.81 – $1.81 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.82 – $0.82 | 1 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $3.07 – $3.07 | 1 |
| Gba gene CPT 81251 | $246.40 | $448.00 | $47.25 – $92.55 | 3 |
| Gefitinib oral HCPCS J8565 | not published | not published | $0.01 – $0.01 | 1 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $46.10 – $46.10 | 1 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.58 – $1.58 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $10.68 – $981.77 | 3 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.75 – $1.29 | 2 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.44 – $5.80 | 2 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $274.83 – $438.92 | 3 |
| General health panel CPT 80050 | $275.00 | $500.00 | $44.32 – $80.39 | 3 |
| Generator barostim neo2 2014 HCPCS C1767 | $36,249.82 | $65,908.76 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $9,519.12 | $17,307.50 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $5,491.75 | $9,985.00 | $2,448.56 – $4,779.26 | 3 |
| Genioplasty augmentation CPT 21120 | not published | not published | $493.68 – $8,785.00 | 7 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $798.58 – $8,785.00 | 7 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $690.12 – $8,785.00 | 7 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $660.75 – $8,785.00 | 7 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $4,563.09 | 3 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $9,820.61 | 3 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $5,289.94 | 3 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $3.04 – $4.10 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $141.35 | $257.00 | $16.38 – $31.75 | 3 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $6.99 – $10.71 | 3 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,685.26 | $3,064.10 | $396.30 – $540.00 | 2 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $540.00 – $1,486.00 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $2,111.40 | $3,838.90 | $101.00 – $3,886.00 | 7 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,071.64 | $5,584.80 | $184.66 – $3,935.00 | 7 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $53.90 | $98.00 | $9.81 – $18.91 | 3 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $192.50 | $350.00 | $17.11 – $33.10 | 3 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $627.55 | $1,141.00 | $102.26 – $199.28 | 3 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $638.50 | $1,160.90 | $24.65 – $24.65 | 1 |
| Ghs antibodies (torch) igm CPT 86694 | $151.25 | $275.00 | $14.39 – $28.38 | 3 |
| Ghs aspiration bladder - needle CPT 51100 | $1,458.60 | $2,652.00 | $41.08 – $2,109.00 | 6 |
| Ghs bladder cath - complex-foley CPT 51703 | $448.30 | $815.10 | $84.75 – $2,939.00 | 4 |
| Ghs bleeding time (ivy) CPT 85002 | $80.85 | $147.00 | $4.82 – $9.46 | 3 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $96.79 – $3,868.00 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,674.38 | $6,680.70 | $123.31 – $3,886.00 | 7 |
| Ghs change cysto/gastrost CPT 43762 | $943.08 | $1,714.70 | $40.10 – $2,939.00 | 6 |
| Ghs chemo >8 hrs CPT 96416 | $710.00 | $1,290.90 | $138.45 – $138.45 | 1 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $178.07 – $178.07 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | $383.24 | $696.80 | $61.32 – $61.32 | 1 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $99.55 | $181.00 | $35.09 – $68.23 | 3 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $627.06 | $1,140.10 | $259.47 – $3,868.00 | 6 |
| Ghs closed reduction ankle dislocation CPT 27840 | $619.90 | $1,127.10 | $377.76 – $3,886.00 | 7 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,532.53 | $4,604.60 | $436.22 – $3,886.00 | 7 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $419.60 – $3,886.00 | 7 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,688.12 | $3,069.30 | $510.99 – $3,886.00 | 7 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $837.02 – $3,935.00 | 7 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $652.08 | $1,185.60 | $310.18 – $3,886.00 | 7 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,217.22 | $4,031.30 | $443.84 – $3,886.00 | 7 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,532.53 | $4,604.60 | $511.44 – $3,935.00 | 7 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $519.80 | $945.10 | $480.74 – $3,886.00 | 7 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $676.39 | $1,229.80 | $307.84 – $3,868.00 | 6 |
| Ghs community re-entry 15 minutes CPT 97537 | $148.42 | $269.85 | $30.52 – $30.52 | 1 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $837.01 | $1,521.83 | $54.37 – $3,886.00 | 7 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $173.43 | $315.32 | $45.03 – $3,868.00 | 6 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $270.37 | $491.59 | $43.01 – $3,868.00 | 6 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $540.14 | $982.08 | $53.32 – $3,868.00 | 6 |
| Ghs cricothyroidotomy CPT 31605 | $1,546.54 | $2,811.90 | $193.77 – $3,868.00 | 6 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $41.76 – $3,868.00 | 5 |
| Ghs cutdown placement under 1 yr CPT 36420 | $225.94 | $410.80 | $52.93 – $3,868.00 | 5 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $29.73 | 3 |
| Ghs dislocation elbow closed treatment CPT 24600 | $935.22 | $1,700.40 | $341.26 – $3,886.00 | 7 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,339.20 | $2,434.90 | $115.05 – $3,886.00 | 7 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $392.54 | $713.70 | $34.78 – $3,868.00 | 6 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,578.72 | $2,870.40 | $72.13 – $2,939.00 | 6 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $716.65 | $1,303.00 | $264.59 – $264.59 | 1 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $8.40 – $8.40 | 1 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $86.84 – $86.84 | 1 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $6.32 – $6.32 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $366.80 | $666.90 | $76.68 – $3,868.00 | 6 |
| Ghs excision ingrown nail CPT 11765 | $428.28 | $778.70 | $96.06 – $3,886.00 | 7 |
| Ghs eye exam CPT 92002 | $170.27 | $309.58 | $48.79 – $48.79 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $595.54 | $1,082.80 | $116.23 – $3,868.00 | 6 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $9.46 | 3 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,321.60 | $4,221.10 | $324.85 – $3,935.00 | 7 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,975.40 | $7,228.00 | $258.88 – $4,510.00 | 7 |
| Ghs fb removal - incisional CPT 10121 | $1,463.60 | $2,661.10 | $191.43 – $3,935.00 | 7 |
| Ghs fb removal - non-incisional CPT 20520 | $1,767.48 | $3,213.60 | $151.23 – $3,868.00 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.81 – $13.51 | 3 |
| Ghs fish cytogen CPT 88271 | $404.80 | $736.00 | $21.42 – $41.89 | 3 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $397.65 | $723.00 | $51.19 – $99.98 | 3 |
| Ghs flow volume loop CPT 94375 | not published | not published | $24.18 – $24.18 | 1 |
| Ghs gastric intub aspiration lavage CPT 43753 | $336.76 | $612.30 | $22.57 – $2,939.00 | 6 |
| Ghs hcv amplificaiton CPT 87521 | $247.50 | $450.00 | $35.09 – $68.23 | 3 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $44.58 | 3 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $30.40 | 3 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.47 – $18.24 | 3 |
| Ghs histoplasma antigen CPT 87385 | $135.30 | $246.00 | $13.25 – $25.67 | 3 |
| Ghs HIV antibody CPT 86703 | $158.40 | $288.00 | $13.71 – $27.02 | 3 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $676.50 | $1,230.00 | $89.38 – $207.38 | 3 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,661.94 | $4,839.90 | $222.89 – $3,935.00 | 7 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,890.74 | $5,255.90 | $429.33 – $4,510.00 | 7 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,831.12 | $3,329.30 | $175.15 – $3,868.00 | 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.