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 herzuma 10 mg HCPCS Q5113 | not published | not published | $25.84 – $128.68 | 3 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $8,795.42 | $15,991.67 | $49.89 – $540.00 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $3,678.31 | $6,687.84 | $62.26 – $540.00 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $1,590.36 | $2,891.56 | $65.21 – $540.00 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $4,078.32 | $7,415.13 | $48.76 – $540.00 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $7,836.22 | $14,247.68 | $48.81 – $540.00 | 2 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.42 – $2.82 | 3 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $1.12 – $8.55 | 2 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $13.91 – $13.91 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $36.65 – $147.03 | 3 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $15.26 – $24.78 | 2 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $3.03 – $4.84 | 3 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $20.67 – $143.56 | 2 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.15 – $0.26 | 3 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $3.81 – $919.24 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,842.84 | $5,168.80 | $152.31 – $3,886.00 | 7 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $6.22 – $6.22 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.48 – $1.48 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $275.28 | $500.50 | $32.16 – $3,868.00 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | $293.15 | $533.00 | $49.51 – $3,868.00 | 6 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $15.05 – $24.11 | 3 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $58.57 – $94.12 | 3 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $2.22 – $3.63 | 3 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.53 – $4.91 | 3 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.84 – $2.90 | 3 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $0.46 – $2.56 | 2 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $4.85 – $161.91 | 2 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $28.40 – $55.36 | 3 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.54 – $2.46 | 3 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.70 – $0.70 | 1 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $0.01 – $41.09 | 3 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $28.21 – $43.79 | 2 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.05 – $0.11 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.30 – $12.67 | 3 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.97 – $9.53 | 3 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | not published | $0.01 – $0.01 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $4.08 – $11.76 | 2 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $0.01 – $5,268,450.00 | 2 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $137.73 – $610.39 | 3 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.51 – $38.59 | 2 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.01 – $5,235.83 | 2 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $112.25 – $2,776.00 | 4 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $58.90 – $94.78 | 2 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.20 – $3.20 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $0.01 – $220.59 | 3 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $70.98 – $70.98 | 1 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $484.50 – $484.50 | 1 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $20.41 – $1,474.73 | 3 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $0.53 – $0.53 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $1.75 – $7.33 | 2 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $1.90 – $3.84 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $0.52 – $3.47 | 2 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.88 – $3.01 | 3 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.42 – $0.69 | 2 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $3.04 – $79.85 | 3 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $278.10 – $460.96 | 3 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $12.68 – $46.78 | 3 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $10.12 – $16.72 | 2 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $9.01 – $13.75 | 2 |
| Inj multihance HCPCS A9577 | not published | not published | $2.02 – $3.23 | 2 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.99 – $3.17 | 2 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.43 – $0.67 | 2 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $22.04 – $22.04 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $165.92 – $1,272.53 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,359.50 | $4,290.00 | $69.03 – $4,510.00 | 6 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $1.94 – $3.58 | 2 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | not published | not published | $30.15 – $50.76 | 2 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $17.30 – $156.54 | 3 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $161.54 – $11,867.00 | 6 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $127.04 – $11,867.00 | 6 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.60 – $0.60 | 1 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $54.87 – $87.62 | 2 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $0.01 – $0.01 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $0.01 – $75.41 | 2 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $51.79 – $85.54 | 3 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $0.01 – $0.01 | 1 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.32 – $2.18 | 2 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $457.42 – $629.61 | 3 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.88 – $6.52 | 2 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $0.01 – $7.46 | 3 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $0.01 – $3,965,706.94 | 2 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $25.54 – $43.51 | 3 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $135.47 – $135.47 | 1 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $44.07 – $108.03 | 3 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $2.22 – $2.22 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $21.61 – $135.41 | 3 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $0.79 – $1,062.84 | 3 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $115.94 – $163.07 | 3 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $93.16 – $158.40 | 2 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $92.18 – $258.18 | 3 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $31.15 – $56.25 | 3 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $41.09 – $61.89 | 2 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $61.26 – $86.96 | 3 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $6.73 – $18.06 | 3 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $91.76 – $152.74 | 2 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $9.80 – $9.80 | 1 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $0.23 – $17.41 | 3 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $1.57 – $6.58 | 3 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.41 – $3.25 | 2 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $4.40 – $28.83 | 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.