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 |
|---|---|---|---|---|
| Great toe with reduction 28495 CPT 28495 | $642.78 | $1,168.70 | $155.53 – $3,868.00 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $611.80 – $11,867.00 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $516.42 – $11,867.00 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $496.66 – $1,486.00 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $494.54 – $11,867.00 | 6 |
| Ground mileage HCPCS A0425 | not published | not published | $5.70 – $5.70 | 1 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $11.96 – $11.96 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $40.14 | $72.98 | $15.50 – $15.50 | 1 |
| Group train without patient HCPCS G0543 | not published | not published | $21.74 – $21.74 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $30.40 | 3 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $130.38 | 3 |
| Growth hormone panel CPT 80430 | not published | not published | $108.95 – $252.64 | 3 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $30.53 – $147.26 | 3 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $5.12 – $5.12 | 1 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $4.48 – $4.48 | 1 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,346.81 – $41,313.00 | 6 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,695.62 – $41,313.00 | 6 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,897.30 – $41,313.00 | 6 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,194.72 – $41,313.00 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $731.39 – $4,510.00 | 6 |
| G-tube reposition CPT 43761 | $1,901.18 | $3,456.70 | $108.55 – $3,886.00 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,063.95 | $3,752.64 | $64.44 – $3,227.38 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,910.48 | $3,473.60 | $162.20 – $2,109.00 | 6 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $406.07 – $406.07 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $689.40 | $1,253.45 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $151.36 | $275.20 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $503.80 | $916.00 | $38.07 – $201.25 | 2 |
| Gum graft CPT 41870 | not published | not published | $317.58 – $4,510.00 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $2,419.40 | $4,398.90 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $425.93 – $5,560.00 | 7 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $6.23 | 2 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $78.58 – $3,868.00 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $222.87 – $4,510.00 | 7 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $357.72 – $4,510.00 | 7 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $31.51 – $31.51 | 1 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $1,506.79 – $1,506.79 | 1 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $1,884.41 – $1,884.41 | 1 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $2,218.57 – $2,218.57 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $0.99 – $8.16 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.98 – $1.49 | 2 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $157.04 – $157.04 | 1 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $20.20 – $20.20 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $5.76 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $70.04 – $70.04 | 1 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $3,868.00 – $3,868.00 | 1 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,144.48 – $1,144.48 | 1 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,391.22 – $1,391.22 | 1 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $604.11 – $604.11 | 1 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,441.18 – $1,441.18 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $787.84 – $4,510.00 | 7 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $626.24 – $5,560.00 | 7 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $719.96 – $5,560.00 | 7 |
| Hand X-ray CPT 73130 | $302.50 | $550.00 | $21.03 – $145.62 | 3 |
| Haptoglobin quantitative CPT 83010 | $70.95 | $129.00 | $12.58 – $24.32 | 3 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $123.10 – $123.10 | 1 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $94.94 – $94.94 | 1 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $87.61 – $87.61 | 1 |
| Harvest allogeneic stem cell CPT 38205 | $4,081.22 | $7,420.40 | $85.34 – $4,510.00 | 6 |
| Harvest auto stem cells CPT 38206 | $4,817.67 | $8,759.40 | $86.05 – $4,510.00 | 6 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $132.75 – $3,935.00 | 7 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $417.84 – $3,935.00 | 7 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $373.08 – $540.00 | 2 |
| Harvest stem cell concentrte CPT 38215 | $2,864.95 | $5,209.00 | $49.31 – $3,868.00 | 6 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $345.63 – $3,868.00 | 3 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $42.73 – $42.73 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $60.24 – $60.24 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,208.90 | $2,198.00 | $600.00 – $1,171.34 | 3 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $484.00 | $880.00 | $202.40 – $395.18 | 3 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $732.25 | 3 |
| Hbb full gene sequence CPT 81364 | $1,208.90 | $2,198.00 | $324.58 – $633.63 | 3 |
| Hbb gene com variants CPT 81361 | $356.40 | $648.00 | $174.81 – $341.13 | 3 |
| Hbb gene dup/del variants CPT 81363 | $577.50 | $1,050.00 | $202.40 – $395.18 | 3 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $732.25 | 3 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $18.91 | 3 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $46.26 – $46.26 | 1 |
| Hc ea ha check monaural CPT 92594 | $138.71 | $252.20 | $21.25 – $21.25 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $594.94 | $1,081.70 | $147.40 – $666.67 | 3 |
| Hcg free betachain test CPT 84704 | $157.30 | $286.00 | $9.70 – $29.73 | 3 |
| Hcg qualitative CPT 84703 | $41.80 | $76.00 | $7.52 – $14.86 | 3 |
| Hcg quantitative CPT 84702 | $167.20 | $304.00 | $9.70 – $29.05 | 3 |
| Hc hearing aid chck binaurl CPT 92593 | $297.44 | $540.80 | $37.10 – $37.10 | 1 |
| Hc hearing aid chck monarl CPT 92592 | $198.06 | $360.10 | $22.33 – $22.33 | 1 |
| Hc hearing aid exam both ears CPT 92591 | $446.16 | $811.20 | $72.04 – $72.04 | 1 |
| Hc hearing aid exam one ear CPT 92590 | $456.17 | $829.40 | $56.55 – $56.55 | 1 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $133.94 – $3,886.00 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $390.10 – $2,939.00 | 6 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $208.23 – $2,109.00 | 4 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $350.33 – $3,868.00 | 6 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $54.58 – $2,109.00 | 4 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $192.69 – $2,109.00 | 4 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $129.92 – $880.92 | 3 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $678.82 – $743.28 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | $583.00 | $1,060.00 | $190.16 – $678.82 | 3 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $185.96 – $880.92 | 3 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,252.55 – $2,350.69 | 2 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $134.96 – $9,268.00 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $216.71 – $484.05 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $394.68 – $789.13 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $623.96 – $1,202.24 | 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.