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 |
|---|---|---|---|---|
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $3.57 – $308.50 | 2 |
| Icatibant injection HCPCS J1744 | not published | not published | $81.22 – $222.85 | 2 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $11,174.62 | $20,317.50 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $354.75 | $645.00 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $188.00 – $3,868.00 | 2 |
| Icut allergy test-delayed CPT 95028 | $145.86 | $265.20 | $13.33 – $13.33 | 1 |
| Icut allergy test drug/bug CPT 95024 | $97.96 | $178.10 | $1.09 – $1.09 | 1 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.59 – $4.59 | 1 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $946.38 – $4,510.00 | 6 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $410.81 – $3,886.00 | 7 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $43.03 – $68.02 | 2 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $178.88 – $4,510.00 | 6 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.01 – $1,033,824.77 | 3 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.76 – $65.98 | 2 |
| Idet 1 or more levels CPT 22527 | not published | not published | $159.56 – $11,867.00 | 6 |
| Idet single level CPT 22526 | not published | not published | $350.37 – $11,867.00 | 6 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $536.10 – $3,886.00 | 7 |
| Idh1 common variants CPT 81120 | $296.45 | $539.00 | $193.25 – $376.94 | 3 |
| Idh2 common variants CPT 81121 | $453.75 | $825.00 | $295.79 – $577.57 | 3 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $451.07 – $3,935.00 | 7 |
| I&d lacrimal gland CPT 68400 | not published | not published | $134.45 – $3,868.00 | 6 |
| I&d lacrimal sac CPT 68420 | not published | not published | $171.69 – $6,335.00 | 6 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $857.56 – $857.56 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $223.24 – $3,886.00 | 7 |
| Idursulfase injection HCPCS J1743 | not published | not published | $350.59 – $894.66 | 3 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $319.69 – $3,886.00 | 7 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $172.70 – $4,510.00 | 6 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $143.21 | 3 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $27.30 – $46.75 | 2 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $404.63 | 3 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $60.59 – $133.75 | 3 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $386.39 | 3 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $294.52 – $574.86 | 3 |
| Igk rearrangeabn clonal pop CPT 81264 | $495.00 | $900.00 | $172.73 – $337.09 | 3 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $221.10 | $402.00 | $44.83 – $120.24 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $130.90 | $238.00 | $75.29 – $291.26 | 3 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $217.25 | $395.00 | $52.88 – $149.16 | 3 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $0.01 – $21.25 | 2 |
| Ikbkap gene CPT 81260 | $172.70 | $314.00 | $39.31 – $77.01 | 3 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,096.00 – $4,510.00 | 6 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $14.19 – $14.19 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $9,052.18 | $16,458.50 | $201.11 – $13,266.00 | 5 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $48.92 – $294.79 | 2 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $0.01 – $0.01 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $939.93 – $4,510.00 | 6 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $66.23 – $105.79 | 3 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $14.37 – $14.37 | 1 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $13.68 – $13.68 | 1 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $46.82 – $109.76 | 2 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $19.09 – $19.09 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $35.66 – $35.66 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $42.51 – $42.51 | 1 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $71.32 – $71.32 | 1 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $101.02 – $101.02 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $62.40 – $62.40 | 1 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $86.25 – $86.25 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,035.21 – $3,935.00 | 7 |
| Immune complex assay CPT 86332 | $63.80 | $116.00 | $24.37 – $47.29 | 3 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $55.52 – $84.06 | 3 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $0.01 – $146.16 | 3 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $56.19 – $88.16 | 3 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $96.98 – $96.98 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $147.95 | $269.00 | $20.81 – $40.53 | 3 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $123.75 | $225.00 | $20.81 – $40.53 | 3 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $16.04 – $49.99 | 3 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $25.30 | $46.00 | $11.98 – $23.65 | 3 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $27.69 | 3 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $58.09 – $58.09 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $92.95 | $169.00 | $22.34 – $43.91 | 3 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $107.80 | $196.00 | $42.56 – $177.60 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $276.65 | $503.00 | $65.49 – $291.26 | 3 |
| Immunoglobulin assay CPT 86023 | $30.80 | $56.00 | $12.46 – $24.32 | 3 |
| Immunology procedure CPT 86849 | $682.55 | $1,241.00 | $45.98 – $45.98 | 1 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $13.33 – $13.33 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $292.42 – $4,510.00 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $24.18 – $24.18 | 1 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $2,009.00 – $5,925.00 | 5 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $388.76 – $5,925.00 | 6 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $724.28 | $1,316.88 | $443.56 – $443.56 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $831.47 – $831.47 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $745.24 – $4,510.00 | 6 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,702.17 – $4,510.00 | 6 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,314.06 – $4,510.00 | 6 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,639.88 – $4,510.00 | 6 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,706.86 – $4,510.00 | 6 |
| Implant cochlear device CPT 69930 | not published | not published | $1,272.36 – $13,068.00 | 7 |
| Implant cochlear osia osi300 HCPCS L8690 | $3,759.16 | $6,834.84 | $3,473.31 – $3,473.31 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $864.63 – $5,560.00 | 7 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $58.48 – $3,868.00 | 6 |
| Implant nerve end CPT 64787 | not published | not published | $256.64 – $3,886.00 | 5 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $310.59 – $4,510.00 | 6 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $542.79 – $4,510.00 | 6 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,616.82 – $4,510.00 | 6 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $874.41 – $11,867.00 | 6 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $165.41 – $4,229.00 | 7 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $159.49 – $4,510.00 | 6 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $315.14 – $4,510.00 | 7 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,056.76 – $4,510.00 | 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.