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 |
|---|---|---|---|---|
| Injection into brain canal CPT 61055 | $918.06 | $1,669.20 | $127.63 – $3,886.00 | 7 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $134.05 – $4,510.00 | 6 |
| Injection into spinal artery CPT 62294 | not published | not published | $823.68 – $4,510.00 | 7 |
| Injection into vocal cord CPT 31513 | not published | not published | $138.36 – $3,935.00 | 7 |
| Injection intraop add-on CPT 48400 | not published | not published | $113.64 – $4,510.00 | 6 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.05 – $1.63 | 2 |
| Injection jaw joint x-ray CPT 21116 | $848.70 | $1,543.10 | $46.42 – $3,868.00 | 4 |
| Injection jugular CPT 36299 | not published | not published | $540.00 – $3,868.00 | 2 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $0.05 – $2.64 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.79 – $10.63 | 3 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $13.85 – $13.85 | 1 |
| Injection of sinus tract CPT 20500 | $1,419.99 | $2,581.80 | $87.88 – $3,868.00 | 6 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $7.55 – $12.05 | 3 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $45.21 – $45.21 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $2.77 | 2 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $0.01 – $0.01 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $86.16 – $3,868.00 | 6 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $40.92 – $3,868.00 | 5 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $23.13 – $50.08 | 3 |
| Injection, ruconest HCPCS J0596 | not published | not published | $5.94 – $68.20 | 3 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,848.28 | $3,360.50 | $1,486.00 – $4,510.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $68.95 – $3,886.00 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,688.12 | $3,069.30 | $47.27 – $3,886.00 | 7 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,597.75 | $2,905.00 | $117.31 – $3,886.00 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $419.70 | $763.10 | $63.08 – $3,886.00 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,487.92 | $2,705.30 | $111.26 – $3,886.00 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $388.24 | $705.90 | $54.39 – $3,886.00 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,927.64 | $3,504.80 | $94.93 – $3,886.00 | 7 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $114.85 – $2,939.00 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,743.88 | $3,170.70 | $104.68 – $2,939.00 | 6 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $48.55 – $307.62 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $719.29 | $1,307.80 | $43.48 – $3,886.00 | 7 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $632.78 | $1,150.50 | $39.05 – $3,886.00 | 7 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $935.94 | $1,701.70 | $44.48 – $3,868.00 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $97.53 | $177.33 | $22.25 – $22.25 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $73.93 | $134.41 | $10.09 – $10.09 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $337.15 | $613.00 | $56.38 – $56.38 | 1 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $99.55 | $181.00 | $25.16 – $25.16 | 1 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $0.01 – $0.01 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $0.01 – $0.01 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $133.21 – $3,886.00 | 7 |
| Injection treatment of eye CPT 66030 | not published | not published | $112.32 – $3,886.00 | 7 |
| Injection treatment of nerve CPT 64605 | not published | not published | $369.35 – $3,886.00 | 7 |
| Injection treatment of nerve CPT 64610 | not published | not published | $513.75 – $3,886.00 | 7 |
| Injection treatment of nerve CPT 64681 | not published | not published | $239.10 – $3,935.00 | 7 |
| Injection treatment of nose CPT 30200 | not published | not published | $61.43 – $3,868.00 | 6 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $87.46 – $3,868.00 | 5 |
| Inject/treat eye socket CPT 67500 | not published | not published | $74.42 – $3,868.00 | 6 |
| Inject/treat eye socket CPT 67505 | not published | not published | $83.19 – $3,868.00 | 6 |
| Inject/treat eye socket CPT 67515 | not published | not published | $91.14 – $3,886.00 | 7 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $0.61 – $0.61 | 1 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $35.78 – $35.78 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $27.22 – $54.62 | 3 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $6.33 – $38.72 | 3 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $1.56 – $621.34 | 3 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $66.70 – $104.07 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $106.50 – $2,939.00 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,316.15 | $2,393.00 | $91.63 – $2,939.00 | 6 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $5.08 – $5.08 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.50 – $2.42 | 2 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.23 – $31.10 | 2 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $0.21 – $0.21 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $66.29 – $192.00 | 2 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $182.57 – $307.41 | 3 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $20.18 – $34.31 | 3 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.01 – $3,847,800.00 | 2 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $11.51 – $18.13 | 3 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $0.01 – $62.84 | 3 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $0.01 – $0.01 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $3.37 – $40.84 | 3 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $163.11 – $261.54 | 3 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.03 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.41 – $2.27 | 3 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $0.74 – $13.61 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $3.11 – $5.27 | 3 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $246.34 – $246.34 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $221.85 – $221.85 | 1 |
| Inj for ext venography CPT 36005 | $400.01 | $727.29 | $51.31 – $3,868.00 | 4 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $82.05 – $1,486.00 | 3 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.73 – $1.91 | 3 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $0.13 – $1,085.87 | 3 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.32 – $3.32 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.86 – $49.66 | 3 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $2.30 – $34.98 | 2 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $3.96 – $6.24 | 2 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $51.00 – $51.00 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $187.68 – $187.68 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $2.02 – $9.81 | 2 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $117.32 – $190.53 | 3 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $0.01 – $4,572.00 | 3 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.88 – $3.33 | 3 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $0.51 – $0.51 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $163.20 – $192.00 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $0.27 – $9.09 | 3 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $5.83 – $140.93 | 3 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $11.87 – $11.87 | 1 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.01 – $6,121,500.00 | 2 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.02 – $5.58 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $73.14 – $113.96 | 3 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $26.42 – $74.25 | 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.