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 |
|---|---|---|---|---|
| Intrinsic factor antibody CPT 86340 | $62.70 | $114.00 | $15.08 – $29.73 | 3 |
| Intrm oph exam est patient CPT 92012 | $177.39 | $322.53 | $53.40 – $53.40 | 1 |
| Intro cath dialysis circuit CPT 36901 | $4,109.47 | $7,471.76 | $153.35 – $2,291.00 | 5 |
| Intro cath dialysis circuit w/pta CPT 36902 | $10,144.25 | $18,444.09 | $228.45 – $13,266.00 | 5 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $13,574.11 | $24,680.20 | $312.70 – $5,082.00 | 4 |
| Intro catheter aorta CPT 36200 | $1,642.36 | $2,986.10 | $164.21 – $3,868.00 | 4 |
| Intro cath svc/ivc CPT 36010 | $1,364.22 | $2,480.40 | $130.38 – $3,868.00 | 4 |
| Intro long gi tube CPT 44500 | $2,076.36 | $3,775.20 | $25.77 – $3,868.00 | 6 |
| Intro long gi tube w/mult fluo CPT 74340 | $994.71 | $1,808.57 | $116.04 – $116.04 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $156.53 – $3,886.00 | 7 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $4,392.24 | $7,985.90 | $98.15 – $2,109.00 | 4 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $2,265.12 | $4,118.40 | $78.55 – $2,109.00 | 4 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,973.40 | $3,588.00 | $115.56 – $3,868.00 | 6 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $47.59 – $47.59 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $18.08 – $18.08 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $2,359.35 | $4,289.73 | $0.01 – $0.01 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $344.16 – $344.16 | 1 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.80 – $326.80 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $38.06 – $38.06 | 1 |
| Ionm in operatng room 15 min CPT 95940 | $416.13 | $756.60 | $33.67 – $33.67 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.52 – $0.83 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.17 – $0.28 | 2 |
| Io radiation tx management CPT 77469 | not published | not published | $325.92 – $325.92 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $15,335.04 – $15,335.04 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $15,335.04 – $15,335.04 | 1 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.01 – $0.01 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $97.39 – $297.08 | 3 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $117.87 – $117.87 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $170.04 – $170.04 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $205.67 – $205.67 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $77.32 – $77.32 | 1 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.05 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.45 – $0.72 | 2 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.63 – $3.25 | 2 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $75.80 – $122.43 | 3 |
| Iron CPT 83540 | $36.30 | $66.00 | $6.47 – $12.83 | 3 |
| Iron binding capacity CPT 83550 | $68.20 | $124.00 | $8.74 – $16.89 | 3 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $6.71 – $33.59 | 3 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $13.51 | 3 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.26 – $0.42 | 2 |
| Irradiation of blood product each unit reference CPT 86945 | $73.70 | $134.00 | $27.57 – $57.42 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $241.67 | $439.40 | $24.59 – $24.59 | 1 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $196.79 – $3,868.00 | 6 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.59 – $2.59 | 1 |
| Irrigation tray HCPCS A4320 | not published | not published | $4.24 – $4.24 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $280.28 | $509.60 | $29.77 – $3,868.00 | 6 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $96.24 – $151.92 | 3 |
| Island pedicle flap graft CPT 15740 | not published | not published | $880.15 – $3,935.00 | 7 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $167.50 – $167.50 | 1 |
| Ivc venogram s&i CPT 75825 | $4,129.12 | $7,507.50 | $78.44 – $5,150.99 | 3 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $151.98 – $151.98 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $201.90 | $367.09 | $30.09 – $30.09 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $126.73 | $230.42 | $20.61 – $20.61 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $185.12 | $336.59 | $18.87 – $18.87 | 1 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $489.50 | $890.00 | $69.06 – $69.06 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $44.83 – $743.28 | 3 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $116.14 – $1,486.00 | 4 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $109.60 – $321.39 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $747.77 | $1,359.59 | $83.00 – $321.39 | 3 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $1.65 – $258.24 | 3 |
| Jak2 targeted sequence analysis CPT 81279 | $227.15 | $413.00 | $185.20 – $361.39 | 3 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $536.53 – $6,969.00 | 7 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $665.72 – $6,969.00 | 7 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $265.57 – $3,935.00 | 7 |
| John cunningham antibody CPT 86711 | $227.70 | $414.00 | $16.89 – $33.10 | 3 |
| J-tube placement CPT 44015 | not published | not published | $150.84 – $4,510.00 | 6 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $799.52 – $799.52 | 1 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $738.75 – $738.75 | 1 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,174.11 – $1,174.11 | 1 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $662.25 – $662.25 | 1 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $819.94 – $819.94 | 1 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $817.58 – $817.58 | 1 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $552.35 – $552.35 | 1 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,511.40 – $1,511.40 | 1 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,140.47 – $1,140.47 | 1 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $126.23 – $126.23 | 1 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $694.50 – $694.50 | 1 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $2,986.01 – $2,986.01 | 1 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $636.52 – $636.52 | 1 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $978.98 – $978.98 | 1 |
| Keratomileusis CPT 65760 | not published | not published | $412.00 – $4,406.00 | 6 |
| Keratophakia CPT 65765 | not published | not published | $412.00 – $4,406.00 | 6 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,429.18 – $6,026.00 | 7 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $545.01 – $545.01 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | $155.10 | $282.00 | $24.08 – $24.08 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $30.40 | 3 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $56.65 | $103.00 | $8.17 – $16.22 | 3 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.04 – $0.56 | 2 |
| Kidney endoscopy CPT 50551 | not published | not published | $308.02 – $3,886.00 | 7 |
| Kidney endoscopy CPT 50553 | $3,263.70 | $5,934.00 | $328.04 – $3,886.00 | 7 |
| Kidney endoscopy CPT 50570 | not published | not published | $513.43 – $3,868.00 | 6 |
| Kidney endoscopy CPT 50575 | not published | not published | $746.39 – $4,510.00 | 6 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $357.44 – $3,886.00 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $590.47 – $3,868.00 | 6 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $361.79 – $3,886.00 | 7 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $411.63 – $3,886.00 | 7 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $589.03 – $4,510.00 | 6 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $634.80 – $4,510.00 | 6 |
| Kidney function study CPT 78725 | $892.10 | $1,622.00 | $91.79 – $678.82 | 3 |
| Kidney imaging morphology CPT 78700 | $592.90 | $1,078.00 | $152.33 – $678.82 | 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.