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 |
|---|---|---|---|---|
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $624.60 – $624.60 | 1 |
| Hospice care supervision CPT 99377 | not published | not published | $57.66 – $57.66 | 1 |
| Hospice care supervision CPT 99378 | not published | not published | $91.02 – $91.02 | 1 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $238.46 | 3 |
| Hpa-1 genotyping CPT 81105 | $284.90 | $518.00 | $122.22 – $238.46 | 3 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $238.46 | 3 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $238.46 | 3 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $238.46 | 3 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $238.46 | 3 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $238.46 | 3 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $238.46 | 3 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $68.23 | 3 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $68.23 | 3 |
| Hpv types 16 & 18 only CPT 87625 | $74.80 | $136.00 | $40.55 – $79.04 | 3 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $31.07 | 3 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $131.73 | 3 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $67.36 – $131.73 | 3 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $15.53 | 3 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $679.05 – $1,325.36 | 3 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $856.55 – $856.55 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,141.61 | 3 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,141.61 | 3 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,978.00 – $4,510.00 | 5 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $39.18 | 3 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $536.35 | 3 |
| Htt gene detc abnor alleles CPT 81271 | $252.45 | $459.00 | $137.00 – $267.51 | 3 |
| Human epididymis protein 4 (he4) CPT 86305 | $253.55 | $461.00 | $20.81 – $40.53 | 3 |
| Human ig IV CPT 90283 | not published | not published | $54.00 – $54.00 | 1 |
| Human ig sc CPT 90284 | not published | not published | $14.46 – $14.46 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $0.20 – $2.97 | 2 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $0.92 – $59.76 | 2 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.51 – $0.93 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.01 – $0.67 | 2 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $6.03 – $10.39 | 2 |
| Hydration IV infusion each additional hour CPT 96361 | $96.29 | $175.07 | $15.23 – $15.23 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $385.16 | $700.29 | $57.06 – $57.06 | 1 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $19.36 – $19.36 | 1 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $14.28 – $14.28 | 1 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $6.72 – $6.72 | 1 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $5.56 – $5.56 | 1 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $10.39 – $10.39 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $24.62 – $39.53 | 2 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $6.17 – $6.17 | 1 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $33.36 – $33.36 | 1 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $20.20 – $20.20 | 1 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $13.79 – $13.79 | 1 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $5.83 – $5.83 | 1 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $3.98 – $3.98 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.10 – $0.18 | 3 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $3.53 – $3.53 | 1 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $12.02 – $12.02 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 3 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.46 – $0.46 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $19.66 – $28.38 | 2 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.10 – $0.10 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $89.10 | $162.00 | $17.90 – $35.13 | 3 |
| Hymenotomy CPT 56442 | not published | not published | $48.56 – $3,886.00 | 7 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $20.26 – $32.68 | 3 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,033.90 – $3,868.00 | 6 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $25.88 – $25.88 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $114.41 – $114.41 | 1 |
| #hypersens-actinomyces ab CPT 86602 | $13.20 | $24.00 | $8.84 – $19.59 | 3 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $643.52 – $1,806.57 | 2 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $316.56 – $879.90 | 2 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $370.12 – $1,144.57 | 2 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $933.37 – $1,259.41 | 2 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $886.59 – $1,981.97 | 2 |
| Hypnotherapy CPT 90880 | not published | not published | $96.21 – $96.21 | 1 |
| Hypothermia ill neonate CPT 99184 | $3,501.36 | $6,366.10 | $240.19 – $240.19 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $21.36 – $33.67 | 3 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,170.72 – $4,510.00 | 6 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,016.89 – $4,510.00 | 6 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,081.43 – $4,510.00 | 6 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $933.78 – $4,510.00 | 6 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $298.56 – $4,510.00 | 5 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $54.64 – $414.23 | 3 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $352.77 – $22,871.00 | 7 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $275.46 – $22,871.00 | 7 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $195.98 – $5,545.00 | 7 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $352.08 – $5,545.00 | 7 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $299.83 – $5,545.00 | 7 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $564.12 – $5,545.00 | 7 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $398.13 – $5,545.00 | 7 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $877.94 – $4,510.00 | 6 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $201.85 – $201.85 | 1 |
| I-123 iobenguane diag HCPCS A9582 | $8,456.29 | $15,375.08 | $3,423.44 – $4,962.45 | 2 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $2,290.23 – $2,517.36 | 2 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $115.52 | $210.04 | $97.75 – $97.75 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $38.25 – $38.25 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $3,168.59 | $5,761.08 | $0.01 – $0.01 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $76.44 | $138.99 | $0.01 – $38.16 | 2 |
| I131 iodide sol, rx HCPCS A9530 | $26.44 | $48.07 | $34.45 – $34.45 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $80.75 – $80.75 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $27.50 | $50.00 | $13.42 – $26.34 | 3 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $146.30 | $266.00 | $35.09 – $68.23 | 3 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $17.97 – $35.13 | 3 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $46.19 | 2 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $3.68 – $53.08 | 2 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,497.78 | 2 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $3.02 – $5.75 | 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.