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 |
|---|---|---|---|---|
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $4,120.21 – $6,556.68 | 2 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.84 – $3.07 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.79 – $6.02 | 3 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $0.01 – $85.52 | 2 |
| Inj. asceniv HCPCS J1554 | not published | not published | $154.11 – $921.45 | 3 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $0.01 – $102.90 | 3 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $36.75 – $58.59 | 2 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $123.00 – $195.01 | 3 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $93.79 – $128.47 | 3 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $68.85 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $20.30 – $305.31 | 3 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $40.83 – $40.83 | 1 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $0.01 – $4,897,200.00 | 2 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $34.44 – $73.88 | 3 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $2.13 – $396.68 | 3 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.01 – $0.31 | 2 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $29.62 – $48.51 | 2 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $2.48 – $8.10 | 2 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $27.23 – $46.72 | 2 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.80 – $2.72 | 2 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $5.50 – $5.50 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $0.32 – $780.28 | 3 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $496.95 – $3,121.12 | 3 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $402.10 – $642.03 | 3 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $522.92 – $522.92 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $0.01 – $2.73 | 2 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $0.83 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $35.16 – $279.18 | 3 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $1.01 – $1.01 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.08 – $4.03 | 2 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.07 – $2.41 | 2 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.06 – $1.72 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.16 – $1.83 | 3 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $2.82 – $11.21 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.89 – $9.20 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.79 – $4.49 | 3 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $6.03 – $16.82 | 3 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $46.81 – $139.02 | 2 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $1.06 – $30.64 | 3 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $100.48 – $278.42 | 3 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $39.40 – $147.48 | 3 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $3.49 – $4.62 | 2 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $1.96 – $4.10 | 2 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $486.20 | $884.00 | $402.87 – $2,776.00 | 4 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $32.98 – $147.11 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,212.77 – $1,938.75 | 3 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $14.51 – $884.24 | 2 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $16.50 – $26.40 | 2 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $20.43 – $31.24 | 3 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $0.73 – $9.30 | 2 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $0.92 – $16.89 | 2 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.91 – $1.17 | 3 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $1.35 – $3.61 | 3 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $1.36 – $7.30 | 3 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.05 – $0.11 | 2 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.07 – $0.11 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.05 – $0.07 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.61 – $5.84 | 3 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.91 – $1.44 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.01 – $5,480,939.49 | 2 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $31.06 – $31.06 | 1 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.01 – $0.01 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $356.07 | $647.40 | $179.10 – $3,868.00 | 4 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $57.49 – $57.49 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $1.56 – $7.67 | 3 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $68.97 – $2,109.00 | 6 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $0.01 – $12.56 | 3 |
| Inj dx for sinogram CPT 20501 | $510.51 | $928.20 | $39.94 – $1,486.00 | 3 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $540.00 – $1,486.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $49.55 – $2,939.00 | 6 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $486.20 | $884.00 | $73.59 – $1,486.00 | 3 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $3.67 – $97.34 | 3 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $0.20 – $898.08 | 3 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.47 – $31.05 | 2 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $764.26 – $764.26 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $502.64 | $913.90 | $60.07 – $3,868.00 | 6 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $0.01 – $192.00 | 2 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.01 – $0.01 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $64.25 – $132.39 | 3 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.48 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.01 – $0.65 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $8,795.42 | $15,991.67 | $55.37 – $540.00 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $21.88 – $38.94 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $1,321.32 | $2,402.40 | $118.85 – $3,886.00 | 7 |
| Injection eye drug CPT 67028 | $1,495.78 | $2,719.60 | $101.70 – $3,886.00 | 7 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.92 – $0.92 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $502.64 | $913.90 | $79.09 – $1,486.00 | 3 |
| Injection for bladder x-ray CPT 51600 | $644.22 | $1,171.30 | $46.84 – $540.00 | 2 |
| Injection for hip x-ray CPT 27095 | $669.24 | $1,216.80 | $86.63 – $3,868.00 | 4 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $388.24 | $705.90 | $53.72 – $3,868.00 | 4 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $141.57 – $3,868.00 | 4 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $57.16 – $1,486.00 | 3 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $51.84 – $1,486.00 | 3 |
| Injection for ureter x-ray CPT 50690 | $294.58 | $535.60 | $73.61 – $1,486.00 | 3 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $14.08 – $14.08 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $3.90 – $12.48 | 3 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $3.08 – $283.09 | 2 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $419.98 – $419.98 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $14.34 – $22.85 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $108.17 – $3,886.00 | 7 |
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.