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 |
|---|---|---|---|---|
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,688.12 | $3,069.30 | $105.74 – $3,868.00 | 6 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $58.09 | 3 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $809.38 | $1,471.60 | $110.13 – $3,868.00 | 6 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $135.34 – $3,935.00 | 7 |
| Ghs inf midline insertion CPT 36140 | $1,609.46 | $2,926.30 | $109.36 – $3,868.00 | 4 |
| Ghs inhibitor screen CPT 85335 | $141.35 | $257.00 | $12.87 – $24.99 | 3 |
| Ghs init tx 1st degree burn CPT 16000 | $317.46 | $577.20 | $47.95 – $3,868.00 | 6 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $179.02 – $3,886.00 | 7 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,352.06 | $2,458.30 | $95.76 – $3,886.00 | 7 |
| Ghs inj tendon origin/insertion CPT 20551 | $476.90 | $867.10 | $44.53 – $3,868.00 | 6 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $958.82 | $1,743.30 | $65.97 – $3,886.00 | 5 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,726.01 | $3,138.20 | $138.04 – $3,886.00 | 7 |
| Ghs insertion of needle - bone CPT 36680 | $308.88 | $561.60 | $61.98 – $3,868.00 | 6 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,372.08 | $2,494.70 | $248.83 – $3,935.00 | 7 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,414.27 | $2,571.40 | $289.02 – $3,935.00 | 7 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,583.01 | $2,878.20 | $341.50 – $3,935.00 | 7 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $240.15 | $436.63 | $9.43 – $3,868.00 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $532.68 | $968.50 | $140.26 – $3,886.00 | 7 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $20.72 – $1,486.00 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $410.63 | $746.60 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $269.91 – $3,868.00 | 6 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $694.98 | $1,263.60 | $161.48 – $3,935.00 | 7 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,056.06 | $1,920.10 | $157.37 – $3,886.00 | 7 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $980.98 | $1,783.60 | $161.41 – $3,886.00 | 7 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $549.45 | $999.00 | $176.57 – $3,886.00 | 7 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $834.40 | $1,517.10 | $210.20 – $3,886.00 | 7 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,056.06 | $1,920.10 | $206.16 – $3,886.00 | 7 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,131.13 | $2,056.60 | $224.85 – $3,886.00 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,214.07 | $2,207.40 | $213.67 – $3,935.00 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,100.38 | $2,000.70 | $222.81 – $3,935.00 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,224.80 | $2,226.90 | $235.69 – $3,935.00 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,193.34 | $2,169.70 | $281.15 – $3,935.00 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,318.46 | $2,397.20 | $312.40 – $3,935.00 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $323.05 – $3,935.00 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $361.41 – $3,935.00 | 7 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $388.39 – $3,935.00 | 7 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,507.22 | $2,740.40 | $392.28 – $3,935.00 | 7 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $16.89 | 3 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $12.98 – $12.98 | 1 |
| Ghs mbp CPT 83873 | $240.90 | $438.00 | $17.20 – $33.77 | 3 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $200.92 | $365.30 | $24.41 – $24.41 | 1 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $200.92 | $365.30 | $95.64 – $95.64 | 1 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $245.24 | $445.90 | $78.37 – $78.37 | 1 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $118.69 | $215.80 | $10.89 – $10.89 | 1 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $111.54 | $202.80 | $59.41 – $59.41 | 1 |
| Ghs musc test done w/n test comp CPT 95886 | $476.19 | $865.80 | $44.49 – $44.49 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $476.19 | $865.80 | $39.23 – $39.23 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $42.73 – $42.73 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | $621.34 | $1,129.70 | $12.40 – $12.40 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,425.00 | $2,590.90 | $134.88 – $3,886.00 | 7 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,496.78 | $4,539.60 | $95.23 – $15,748.00 | 7 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,559.42 | $2,835.30 | $70.49 – $3,886.00 | 7 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $73.40 – $3,886.00 | 7 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $67.86 – $3,886.00 | 7 |
| Ghs nerve block celiac plexus CPT 64530 | $1,560.13 | $2,836.60 | $96.08 – $3,886.00 | 7 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $76.49 – $3,886.00 | 7 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,789.64 | $3,253.90 | $84.10 – $3,886.00 | 7 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $75.31 – $3,868.00 | 6 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $79.92 – $3,868.00 | 6 |
| Ghs ng placement w fluoro guidance CPT 43752 | $735.02 | $1,336.40 | $43.22 – $3,868.00 | 6 |
| Ghs o2 saturation CPT 82810 | $152.35 | $277.00 | $9.77 – $18.91 | 3 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $44.13 – $44.13 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | $198.06 | $360.10 | $45.18 – $45.18 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | $3,255.40 | $5,918.90 | $37.04 – $3,935.00 | 7 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,010.86 | $5,474.30 | $208.60 – $3,935.00 | 7 |
| Ghs optokenetic CPT 92544 | not published | not published | $1.43 – $1.43 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $1.43 – $1.43 | 1 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $24.27 – $24.27 | 1 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $36.60 – $36.60 | 1 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.99 – $7.99 | 1 |
| Ghs ot group caregiver training CPT 97552 | $38.12 | $69.31 | $21.55 – $21.55 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $33.35 – $33.35 | 1 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $114.43 | $208.06 | $29.46 – $29.46 | 1 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $66.64 – $66.64 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $1,556.56 | $2,830.10 | $11.63 – $3,868.00 | 3 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $311.02 | $565.50 | $63.78 – $3,886.00 | 5 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $388.24 | $705.90 | $55.09 – $3,886.00 | 5 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $33.00 | $60.00 | $21.98 – $32.60 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,688.12 | $3,069.30 | $142.05 – $3,886.00 | 7 |
| Ghs phenylketonurid CPT 84030 | $6.60 | $12.00 | $5.50 – $10.81 | 3 |
| Ghs picc line insert < 5 CPT 36568 | $3,355.50 | $6,100.90 | $104.12 – $3,886.00 | 7 |
| Ghs plngl fx pm cl CPT 26725 | $659.23 | $1,198.60 | $309.78 – $3,886.00 | 7 |
| Ghs plt ct-manual CPT 85032 | $30.25 | $55.00 | $4.31 – $8.10 | 3 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $4,114.60 | $7,481.10 | $780.03 – $780.03 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $1.43 – $1.43 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | $29.70 | $54.00 | $7.72 – $24.67 | 3 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $18.91 | 3 |
| Ghs protein, misc fluid CPT 84160 | $133.65 | $243.00 | $5.61 – $10.81 | 3 |
| Ghs protoporphyrins fract CPT 84202 | $113.30 | $206.00 | $14.35 – $27.69 | 3 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $19.11 – $19.11 | 1 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $31.90 | $58.00 | $12.25 – $23.65 | 3 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $166.78 – $166.78 | 1 |
| Ghs quinidine CPT 80194 | $141.35 | $257.00 | $14.60 – $28.38 | 3 |
| Ghs refill of implantable pump CPT 95990 | $345.59 | $628.35 | $88.99 – $540.00 | 2 |
| Ghs removal intranasal foreign body CPT 30300 | $300.30 | $546.00 | $128.53 – $3,868.00 | 6 |
| Ghs removal pharyngeal foreign body CPT 42809 | $1,059.63 | $1,926.60 | $139.28 – $3,868.00 | 6 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,028.02 | $5,505.50 | $565.35 – $4,510.00 | 7 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $3,151.00 | $5,729.10 | $503.08 – $5,560.00 | 7 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $26.40 | $48.00 | $15.89 – $31.07 | 3 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $8.10 | 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.