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 |
|---|---|---|---|---|
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,408.52 – $4,510.00 | 6 |
| Incision of brain tissue CPT 61541 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Incision of brain tissue CPT 61567 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Incision of breast lesion CPT 19020 | not published | not published | $313.73 – $3,935.00 | 7 |
| Incision of brow nerve CPT 64732 | not published | not published | $392.09 – $3,935.00 | 7 |
| Incision of burn scab initi CPT 16035 | not published | not published | $203.21 – $4,510.00 | 6 |
| Incision of cheek nerve CPT 64734 | not published | not published | $528.78 – $3,935.00 | 7 |
| Incision of chin nerve CPT 64736 | not published | not published | $411.68 – $3,935.00 | 7 |
| Incision of eardrum CPT 69420 | $1,290.58 | $2,346.50 | $124.64 – $3,868.00 | 6 |
| Incision of eardrum CPT 69421 | not published | not published | $154.16 – $4,510.00 | 7 |
| Incision of esophagus CPT 43020 | not published | not published | $592.00 – $3,868.00 | 6 |
| Incision of eye CPT 65850 | not published | not published | $851.59 – $5,560.00 | 7 |
| Incision of eye CPT 66172 | not published | not published | $1,532.86 – $5,560.00 | 7 |
| Incision of eyelid CPT 67710 | not published | not published | $98.22 – $3,868.00 | 6 |
| Incision of facial nerve CPT 64742 | not published | not published | $474.19 – $3,935.00 | 7 |
| Incision of fibula CPT 27707 | not published | not published | $415.64 – $3,935.00 | 7 |
| Incision of finger tendon CPT 26455 | not published | not published | $405.92 – $4,510.00 | 7 |
| Incision of foot fascia CPT 28008 | not published | not published | $304.43 – $4,510.00 | 7 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $272.75 – $3,935.00 | 7 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $916.14 – $4,510.00 | 6 |
| Incision of heel bone CPT 28300 | not published | not published | $679.17 – $4,229.00 | 7 |
| Incision of hip bone CPT 27146 | not published | not published | $1,338.38 – $4,510.00 | 6 |
| Incision of hip bones CPT 27151 | not published | not published | $1,665.51 – $4,510.00 | 6 |
| Incision of hip tendon CPT 27000 | not published | not published | $430.01 – $3,935.00 | 7 |
| Incision of hip tendon CPT 27001 | not published | not published | $558.79 – $4,510.00 | 7 |
| Incision of hip tendon CPT 27003 | not published | not published | $617.80 – $4,510.00 | 7 |
| Incision of hip tendons CPT 27006 | not published | not published | $762.89 – $4,510.00 | 6 |
| Incision of iris CPT 66500 | not published | not published | $357.10 – $3,886.00 | 7 |
| Incision of iris CPT 66505 | not published | not published | $391.42 – $3,886.00 | 7 |
| Incision of jaw joint CPT 21010 | not published | not published | $790.67 – $3,935.00 | 7 |
| Incision of jaw nerve CPT 64738 | not published | not published | $477.07 – $3,935.00 | 7 |
| Incision of knee joint CPT 27435 | not published | not published | $835.24 – $5,560.00 | 7 |
| Incision of liver duct CPT 47400 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Incision of lymph channels CPT 38308 | not published | not published | $463.24 – $3,935.00 | 7 |
| Incision of metatarsal CPT 28306 | not published | not published | $419.02 – $5,560.00 | 7 |
| Incision of metatarsal CPT 28307 | not published | not published | $490.30 – $5,560.00 | 7 |
| Incision of metatarsal CPT 28308 | not published | not published | $389.32 – $3,935.00 | 7 |
| Incision of metatarsals CPT 28309 | not published | not published | $948.97 – $5,560.00 | 7 |
| Incision of midfoot bones CPT 28304 | not published | not published | $632.87 – $4,229.00 | 7 |
| Incision of neck of femur CPT 27161 | not published | not published | $1,267.49 – $4,510.00 | 6 |
| Incision of palm tendon CPT 26450 | not published | not published | $408.44 – $4,510.00 | 7 |
| Incision of prostate CPT 52450 | not published | not published | $485.87 – $4,510.00 | 7 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $720.55 – $4,510.00 | 6 |
| Incision of rectal abscess CPT 46060 | not published | not published | $493.85 – $3,935.00 | 7 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $909.74 – $4,510.00 | 6 |
| Incision of sperm duct CPT 55200 | not published | not published | $288.48 – $3,935.00 | 7 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $591.53 – $3,935.00 | 7 |
| Incision of stomach nerves CPT 64755 | not published | not published | $964.90 – $4,510.00 | 6 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $647.41 – $3,935.00 | 7 |
| Incision of tendon sheath CPT 25000 | not published | not published | $344.01 – $4,510.00 | 7 |
| Incision of thigh CPT 27448 | not published | not published | $795.17 – $4,510.00 | 6 |
| Incision of thigh CPT 27450 | not published | not published | $1,049.93 – $4,510.00 | 6 |
| Incision of thigh tendon CPT 27306 | not published | not published | $370.50 – $4,510.00 | 7 |
| Incision of thigh tendon CPT 27390 | not published | not published | $463.33 – $3,886.00 | 7 |
| Incision of thigh tendons CPT 27307 | not published | not published | $496.34 – $4,510.00 | 7 |
| Incision of thigh tendons CPT 27391 | not published | not published | $597.86 – $3,935.00 | 7 |
| Incision of thigh tendons CPT 27392 | not published | not published | $739.75 – $4,510.00 | 7 |
| Incision of tibia CPT 27705 | not published | not published | $780.91 – $3,935.00 | 7 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,223.45 – $3,935.00 | 7 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $298.04 – $4,510.00 | 7 |
| Incision of tongue fold CPT 41010 | $2,217.05 | $4,031.00 | $112.86 – $3,886.00 | 7 |
| Incision of tongue nerve CPT 64740 | not published | not published | $471.90 – $3,935.00 | 7 |
| Incision of urethra CPT 53000 | not published | not published | $153.67 – $3,886.00 | 7 |
| Incision of urethra CPT 53010 | not published | not published | $303.70 – $3,886.00 | 7 |
| Incision of urethra CPT 53020 | $5,097.40 | $9,268.00 | $100.72 – $3,886.00 | 7 |
| Incision of urethra CPT 53025 | $2,871.44 | $5,220.80 | $70.78 – $4,510.00 | 6 |
| Incision of vagus nerve CPT 64760 | not published | not published | $536.33 – $4,510.00 | 6 |
| Incision of windpipe CPT 31601 | not published | not published | $286.94 – $4,510.00 | 6 |
| Incision of windpipe CPT 31610 | not published | not published | $737.97 – $4,510.00 | 6 |
| Incision of wrist capsule CPT 25085 | not published | not published | $465.69 – $4,510.00 | 7 |
| Incision secondary cataract CPT 66820 | not published | not published | $396.28 – $3,868.00 | 6 |
| Incision tendon sheath CPT 26055 | not published | not published | $316.45 – $3,935.00 | 7 |
| Incisn of toe tndn CPT 28010 | not published | not published | $216.30 – $4,510.00 | 6 |
| Incisn windpipe CPT 31600 | not published | not published | $417.52 – $3,935.00 | 6 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $540.00 – $1,486.00 | 3 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $6.17 – $10.33 | 3 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $95.50 – $2,147.00 | 3 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $11.62 – $11.62 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $512.43 – $4,510.00 | 6 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $536.57 – $4,510.00 | 6 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $435.39 – $4,510.00 | 6 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $416.69 – $3,935.00 | 6 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $519.80 – $4,510.00 | 6 |
| Induced abortion d&c CPT 59840 | not published | not published | $218.11 – $6,335.00 | 7 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $378.99 – $6,335.00 | 7 |
| Induction of vomiting CPT 99175 | not published | not published | $16.83 – $16.83 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $71.61 | 2 |
| Infect ag drug suscept pheno predict CPT 87900 | $528.00 | $960.00 | $130.35 – $254.66 | 3 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $29.05 | 3 |
| Infect ag eia influenza a or b ea CPT 87400 | $71.50 | $130.00 | $14.13 – $27.69 | 3 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $3,135.00 | $5,700.00 | $257.45 – $502.58 | 3 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $502.58 | 3 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $528.00 | $960.00 | $128.73 – $251.29 | 3 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $620.40 | $1,128.00 | $257.45 – $502.58 | 3 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $64.17 | 3 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $16.65 – $68.90 | 3 |
| Infect ag ia optc obs influenza CPT 87804 | $72.60 | $132.00 | $16.55 – $32.42 | 3 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $70.95 | $129.00 | $11.98 – $23.65 | 3 |
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.