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 |
|---|---|---|---|---|
| Application of paste boot 29580 CPT 29580 | $371.08 | $674.70 | $36.42 – $3,868.00 | 6 |
| Application short leg cast 29405 CPT 29405 | $765.05 | $1,391.00 | $62.19 – $3,868.00 | 6 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,831.83 | $3,330.60 | $100.47 – $3,886.00 | 7 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,831.83 | $3,330.60 | $88.45 – $3,886.00 | 7 |
| Appl long leg cast brace CPT 29358 | not published | not published | $108.50 – $3,868.00 | 6 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,161.08 – $4,510.00 | 7 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $10.98 – $10.98 | 1 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $19.23 – $19.23 | 1 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $17.11 – $3,886.00 | 7 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $86.85 – $3,868.00 | 6 |
| Appl unipln uni ext fixj sys CPT 20690 | $7,348.77 | $13,361.40 | $618.93 – $3,935.00 | 7 |
| Apply finger cast 29086 CPT 29086 | $448.30 | $815.10 | $51.59 – $3,868.00 | 6 |
| Apply forearm splintdynamic 29126 CPT 29126 | $233.09 | $423.80 | $50.36 – $3,868.00 | 6 |
| Apply halo w/removal cranial CPT 20661 | $1,151.15 | $2,093.00 | $526.07 – $4,510.00 | 6 |
| Apply hand/wrist cast 29085 CPT 29085 | $520.52 | $946.40 | $70.08 – $3,868.00 | 6 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $283.43 – $878.00 | 2 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $278.89 – $616.75 | 2 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $215.79 – $478.40 | 2 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $187.41 – $420.37 | 2 |
| Apply of finger splint 29131 CPT 29131 | $295.30 | $536.90 | $34.35 – $3,868.00 | 6 |
| Apply rem fixation device CPT 20660 | not published | not published | $261.71 – $4,510.00 | 6 |
| Apply rigid leg cast 29445 CPT 29445 | $717.14 | $1,303.90 | $109.22 – $3,868.00 | 6 |
| Apply short leg castambul type 29425 CPT 29425 | $765.05 | $1,391.00 | $58.64 – $3,868.00 | 6 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $58.84 – $144.43 | 2 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,258.26 – $11,867.00 | 6 |
| App mltpln uni xtrnl fix xch CPT 20697 | $1,625.20 | $2,954.90 | $1,716.00 – $8,785.00 | 6 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,978.00 – $4,510.00 | 5 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,978.00 – $4,510.00 | 5 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $2.06 – $3.04 | 3 |
| #aptt mix-1:1 incubated CPT 87532 | $182.60 | $332.00 | $35.09 – $68.23 | 3 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $330.00 | $600.00 | $12.05 – $15.66 | 3 |
| Aquaporin-4 antibody cba each CPT 86052 | $297.00 | $540.00 | $12.05 – $15.66 | 3 |
| Aquaporin-4 antibody elisa CPT 86051 | $497.75 | $905.00 | $11.53 – $14.98 | 3 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $43.11 – $43.11 | 1 |
| Aquatic exercise - group charge CPT 97150 | $87.45 | $159.00 | $17.66 – $17.66 | 1 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,153.71 – $6,335.00 | 7 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,092.70 – $11,867.00 | 6 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $0.01 – $3.00 | 2 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.68 – $3.01 | 3 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.86 – $1.48 | 3 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $3.83 – $6.20 | 3 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.01 – $0.01 | 1 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $6.81 – $15.12 | 3 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $2,002.80 – $4,510.00 | 6 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,675.11 – $4,510.00 | 6 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,881.23 – $4,510.00 | 6 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,691.15 – $4,510.00 | 6 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,856.55 – $4,510.00 | 6 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $1,906.36 – $4,510.00 | 6 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,190.21 – $4,510.00 | 6 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,484.18 – $4,510.00 | 6 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,272.53 – $4,510.00 | 6 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,516.74 – $4,510.00 | 6 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,365.50 – $4,510.00 | 6 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,172.16 – $4,510.00 | 6 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,171.38 – $4,510.00 | 6 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,266.87 – $4,510.00 | 6 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,130.43 – $4,510.00 | 6 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,175.85 – $4,510.00 | 6 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,324.77 – $4,510.00 | 6 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,513.09 – $4,510.00 | 6 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,364.98 – $4,510.00 | 6 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,437.64 – $4,510.00 | 6 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,287.93 | $2,341.69 | $53.62 – $1,486.00 | 3 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,434.21 – $4,510.00 | 6 |
| Artery to vein shunt CPT 36835 | not published | not published | $530.54 – $5,560.00 | 7 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $852.96 – $4,510.00 | 6 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $717.70 – $5,560.00 | 7 |
| Artery xray each vessel 7577426 CPT 75774 | $2,794.22 | $5,080.40 | $68.64 – $68.64 | 1 |
| Artery xray of abdomen 75726-26 CPT 75726 | $6,115.40 | $11,118.90 | $91.74 – $8,586.67 | 3 |
| Artery x-rays adrenal gland CPT 75731 | $2,288.00 | $4,160.00 | $111.72 – $5,150.99 | 3 |
| Artery x-rays adrenals CPT 75733 | $4,576.00 | $8,320.00 | $116.62 – $5,150.99 | 3 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,832.40 | $6,968.00 | $104.72 – $5,150.99 | 3 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $4,504.50 | $8,190.00 | $119.42 – $5,150.99 | 3 |
| Artery x-rays chest CPT 75756 | $3,753.75 | $6,825.00 | $108.92 – $5,150.99 | 3 |
| Artery x-rays lung CPT 75741 | $3,813.81 | $6,934.20 | $86.14 – $5,150.99 | 3 |
| Artery x-rays lung CPT 75746 | $4,004.00 | $7,280.00 | $95.59 – $5,150.99 | 3 |
| Artery x-rays lungs CPT 75743 | $5,228.80 | $9,506.90 | $87.19 – $5,150.99 | 3 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $4,075.50 | $7,410.00 | $102.62 – $8,586.67 | 3 |
| Artery x-rays spine CPT 75705 | $7,411.69 | $13,475.80 | $126.07 – $8,586.67 | 3 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $222.59 – $4,510.00 | 6 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $1,329.11 – $12,115.00 | 6 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,625.03 – $7,415.00 | 6 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,820.78 – $12,115.00 | 6 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $1,964.24 – $7,415.00 | 6 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $981.24 – $6,335.00 | 7 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $1,042.65 – $6,335.00 | 7 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $1,339.39 – $8,785.00 | 7 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,662.52 – $7,415.00 | 6 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $579.67 – $5,082.00 | 6 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $455.14 – $9,268.00 | 6 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $755.76 – $5,560.00 | 7 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $632.26 – $5,560.00 | 7 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $778.66 – $6,335.00 | 7 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $877.71 – $6,335.00 | 7 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $895.48 – $6,335.00 | 7 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $677.82 | $1,232.40 | $38.41 – $3,886.00 | 7 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $757.90 | $1,378.00 | $54.82 – $2,109.00 | 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.