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, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $70.89 – $13,428.35 | 3 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $12.15 – $140.62 | 3 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $47.56 – $3,868.00 | 4 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $0.01 – $22.52 | 3 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $33.65 – $53.66 | 2 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $0.58 – $6.50 | 3 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $9.24 – $103.85 | 2 |
| Inj proc ankle arthr CPT 27648 | $373.94 | $679.90 | $54.40 – $1,486.00 | 3 |
| Inj proc elbow arthro CPT 24220 | $301.02 | $547.30 | $72.18 – $1,486.00 | 3 |
| Inj proc for lymphang CPT 38790 | $501.22 | $911.30 | $87.43 – $1,486.00 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,842.56 | $3,350.10 | $179.67 – $3,868.00 | 4 |
| Inj proc myelogram lumbar CPT 62284 | $232.38 | $422.50 | $90.51 – $3,868.00 | 4 |
| Inj proc sialogram CPT 42550 | not published | not published | $66.79 – $1,486.00 | 3 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.73 – $1.30 | 2 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.65 – $2.62 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.62 – $4.12 | 3 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.48 – $0.74 | 3 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.88 – $1.46 | 3 |
| Inj retro urethrocysto CPT 51610 | $930.22 | $1,691.30 | $67.12 – $540.00 | 2 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $10.78 – $24.65 | 3 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $0.01 – $19,252.15 | 2 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.01 – $0.01 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $32.62 – $52.90 | 3 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $5.63 – $21.50 | 2 |
| Inj scleros sol mult veins CPT 36471 | $1,047.48 | $1,904.50 | $105.36 – $3,868.00 | 6 |
| Inj scleros sol sgl vein CPT 36470 | $864.44 | $1,571.70 | $87.42 – $3,868.00 | 6 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.01 – $1.65 | 2 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $65.92 – $890.21 | 3 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $33.47 – $70.24 | 2 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $4.03 – $33.10 | 3 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.07 – $1.36 | 2 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $76.35 – $101.36 | 3 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $312.46 | $568.10 | $154.23 – $3,868.00 | 6 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $21.59 – $34.49 | 2 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $91.10 – $146.42 | 3 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $21.03 – $29.91 | 3 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $404.92 – $662.11 | 3 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $47.69 – $76.26 | 3 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $38.64 – $62.28 | 3 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $0.01 – $3.64 | 3 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $39.10 – $61.45 | 3 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $417.08 – $572.72 | 3 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.07 – $0.10 | 2 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $0.04 – $2.46 | 2 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.01 – $0.05 | 2 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.01 – $0.01 | 1 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $14.22 – $19.55 | 2 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $137.32 – $2,776.00 | 4 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $119.13 – $2,776.00 | 4 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $0.60 – $0.60 | 1 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $2.94 – $236.43 | 3 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $12.21 – $910.17 | 3 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $180.43 – $256.31 | 3 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.66 – $10.27 | 3 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $189.72 – $363.06 | 3 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $9.56 – $33.94 | 3 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.04 – $0.04 | 1 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $6.59 – $19.05 | 3 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $578.13 – $7,081.05 | 3 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $0.76 – $10.07 | 3 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $5.45 – $8.19 | 3 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $9.94 – $74.85 | 2 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $3.58 – $46.34 | 2 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $2.72 – $23.45 | 2 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $14.27 – $46.45 | 3 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $14.32 – $14.32 | 1 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $16.21 – $16.21 | 1 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.15 – $0.26 | 2 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.56 – $1.13 | 2 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $0.56 – $5.99 | 3 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $50.66 – $85.80 | 3 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $0.01 – $727.34 | 3 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $13.57 – $325.92 | 2 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $57.53 – $67.68 | 2 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $31.18 – $31.18 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $621.34 | $1,129.70 | $38.48 – $3,868.00 | 6 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $17.32 – $27.54 | 3 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $55.75 – $88.99 | 3 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $585.06 – $982.94 | 3 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $29.13 – $46.46 | 2 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $36.78 – $61.05 | 2 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $215.56 – $5,004.89 | 3 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $41.91 – $41.91 | 1 |
| Inpt/ed teleconsult30 HCPCS G0425 | not published | not published | $104.12 – $104.12 | 1 |
| Inpt/ed teleconsult50 HCPCS G0426 | not published | not published | $140.31 – $140.31 | 1 |
| Inpt/ed teleconsult70 HCPCS G0427 | not published | not published | $207.72 – $207.72 | 1 |
| Inpt/tele follow up 15 HCPCS G0406 | not published | not published | $39.89 – $39.89 | 1 |
| Inpt/tele follow up 25 HCPCS G0407 | not published | not published | $73.94 – $73.94 | 1 |
| Inpt/tele follow up 35 HCPCS G0408 | not published | not published | $106.58 – $106.58 | 1 |
| Ins cath ren art 1st bi CPT 36252 | $3,690.83 | $6,710.60 | $398.80 – $4,510.00 | 6 |
| Ins cath ren art 1st uni CPT 36251 | $3,637.92 | $6,614.40 | $300.07 – $4,510.00 | 6 |
| Ins cath ren art 2nd+ bi CPT 36254 | $7,275.84 | $13,228.80 | $462.94 – $4,510.00 | 6 |
| Ins cath ren art 2nd+ uni CPT 36253 | $3,637.92 | $6,614.40 | $401.11 – $4,510.00 | 6 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $47.70 – $3,868.00 | 6 |
| Ins device for right guide open CPT 49412 | not published | not published | $87.01 – $4,510.00 | 6 |
| Insemination of oocytes CPT 89268 | not published | not published | $149.16 – $198.02 | 2 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $763.82 – $4,510.00 | 6 |
| Insert and remove bone pin CPT 20650 | $3,631.48 | $6,602.70 | $161.38 – $4,510.00 | 7 |
| Insert ant drainage device CPT 66183 | $2,574.86 | $4,681.56 | $1,043.97 – $11,867.00 | 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.