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 |
|---|---|---|---|---|
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,690.42 – $4,510.00 | 6 |
| Implant neurostim arrays CPT 61886 | not published | not published | $896.38 – $7,312.00 | 7 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $2,623.00 – $3,886.00 | 2 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $83.04 – $83.04 | 1 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Implant single ventricular device 33975 CPT 33975 | $53,260.42 | $96,837.13 | $1,395.73 – $4,510.00 | 6 |
| Implant spinal canal cath CPT 62351 | not published | not published | $909.20 – $11,867.00 | 6 |
| Implant spine infusion pump CPT 62361 | not published | not published | $455.17 – $6,823.00 | 7 |
| Implant spine infusion pump CPT 62362 | not published | not published | $405.21 – $6,823.00 | 7 |
| Implant tcat pulm vlv perq CPT 33477 | $9,323.46 | $16,951.75 | $1,361.16 – $9,268.00 | 6 |
| Implant ureter in bowel CPT 50800 | not published | not published | $963.31 – $4,510.00 | 6 |
| Implant ureth bulk agent HCPCS L8606 | $3,256.40 | $5,920.73 | $160.09 – $160.09 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,107.13 – $1,107.13 | 1 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $2,269.71 – $2,269.71 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $429.77 – $11,867.00 | 7 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $223.40 – $3,886.00 | 5 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $419.35 – $3,935.00 | 7 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $625.34 – $7,425.00 | 6 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $683.41 – $9,268.00 | 6 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $1,117.40 – $9,268.00 | 7 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $397.24 – $4,510.00 | 6 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $95.50 – $4,510.00 | 6 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $395.48 – $4,510.00 | 6 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,009.00 – $9,268.00 | 6 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $181.04 – $181.04 | 1 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $6,151.70 – $6,151.70 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $0.01 – $872.62 | 2 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $1.64 – $1.64 | 1 |
| Impres&prep auricular prosth CPT 21086 | $7,799.22 | $14,180.40 | $1,642.77 – $4,510.00 | 6 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,636.94 – $4,510.00 | 6 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,475.00 – $4,510.00 | 6 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,510.76 – $4,510.00 | 6 |
| Impres&prep nasal prosth CPT 21087 | $4,963.53 | $9,024.60 | $1,642.77 – $4,510.00 | 6 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $540.00 – $4,510.00 | 6 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,420.15 – $4,510.00 | 6 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,318.53 – $4,510.00 | 6 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,525.79 – $4,510.00 | 6 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $883.10 – $4,510.00 | 6 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $0.26 – $71.58 | 3 |
| In-111 autologous plt stdy dx HCPCS A9571 | $707.52 | $1,286.40 | $4,294.16 – $4,294.16 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $2,046.68 | $3,721.24 | $1,701.79 – $4,294.16 | 2 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $0.01 – $0.01 | 1 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $0.01 – $1,316.73 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $2,141.52 | $3,893.67 | $1,274.86 – $2,147.08 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $836.84 | $1,521.52 | $860.20 – $1,180.23 | 2 |
| In-111 pentetreotide HCPCS A9572 | $341.98 | $621.78 | $3,159.11 – $4,495.01 | 2 |
| In-111 satumomab pend HCPCS A4642 | $2,716.85 | $4,939.72 | not published | 0 |
| Inactivated je vacc im CPT 90738 | not published | not published | $293.35 – $293.35 | 1 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $458.25 – $4,510.00 | 6 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $600.97 – $3,935.00 | 7 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $522.05 – $3,935.00 | 7 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,888.56 – $4,510.00 | 6 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,559.66 – $4,510.00 | 6 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,561.60 – $4,510.00 | 6 |
| Incis addl spine segment CPT 22216 | not published | not published | $387.00 – $1,486.00 | 3 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,331.55 – $4,510.00 | 6 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $452.40 – $3,935.00 | 7 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $112.17 – $4,510.00 | 6 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $352.16 – $4,510.00 | 6 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $393.67 – $4,510.00 | 7 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $531.38 – $3,935.00 | 6 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $591.03 – $4,510.00 | 6 |
| Incise inner ear CPT 69801 | not published | not published | $131.61 – $6,335.00 | 7 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,598.66 – $8,785.00 | 7 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,856.75 – $4,510.00 | 6 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $257.61 – $3,868.00 | 6 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $479.01 – $3,886.00 | 7 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $598.50 – $5,560.00 | 7 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $637.43 – $5,560.00 | 7 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $671.73 – $5,560.00 | 7 |
| Incise inner eye strands CPT 67030 | not published | not published | $538.08 – $3,886.00 | 7 |
| Incise nerve back of head CPT 64744 | not published | not published | $524.36 – $3,935.00 | 7 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $268.33 – $3,935.00 | 7 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,369.25 – $4,510.00 | 6 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,715.84 – $4,510.00 | 6 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,754.56 – $14,718.00 | 6 |
| Incise skull repair CPT 62121 | not published | not published | $1,699.79 – $4,510.00 | 6 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,839.31 – $4,510.00 | 6 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,811.56 – $4,510.00 | 6 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $436.09 – $3,868.00 | 6 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,717.91 – $11,867.00 | 6 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,484.45 – $11,867.00 | 6 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,327.84 – $11,867.00 | 6 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,207.06 – $11,867.00 | 6 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $99.81 – $3,886.00 | 7 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $800.12 – $3,935.00 | 7 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $497.36 – $3,935.00 | 7 |
| Incise & treat bladder CPT 51030 | not published | not published | $2,009.00 – $5,560.00 | 5 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $448.03 – $4,510.00 | 7 |
| Incision anal septum infant CPT 46070 | not published | not published | $226.68 – $4,510.00 | 6 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,111.40 | $3,838.90 | $121.41 – $3,886.00 | 7 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $996.22 – $4,510.00 | 6 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,429.61 – $4,510.00 | 6 |
| Incision of achilles tendon CPT 27605 | $6,983.40 | $12,697.10 | $191.15 – $3,886.00 | 7 |
| Incision of achilles tendon CPT 27606 | $3,280.42 | $5,964.40 | $296.49 – $3,886.00 | 7 |
| Incision of anal sphincter CPT 46080 | not published | not published | $166.12 – $4,510.00 | 7 |
| Incision of ankle bone CPT 28302 | not published | not published | $743.83 – $3,935.00 | 7 |
| Incision of bile duct CPT 47425 | not published | not published | $1,435.73 – $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.