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 |
|---|---|---|---|---|
| Kidney imag w/bld flow multi CPT 78709 | $1,320.00 | $2,400.00 | $299.76 – $880.92 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,375.00 | $2,500.00 | $189.46 – $880.92 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $695.20 | $1,264.00 | $75.29 – $196.15 | 3 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $6,026.00 – $6,026.00 | 1 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $69.18 | $125.78 | $41.69 – $41.69 | 1 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $5.95 – $5.95 | 1 |
| Kit gene analys d816 variant CPT 81273 | $116.60 | $212.00 | $124.87 – $243.86 | 3 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $11.74 – $11.74 | 1 |
| Kit lead specify 5-6-5 HCPCS C1778 | $6,838.51 | $12,433.65 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $734.63 | $1,335.69 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $37.77 – $49.98 | 2 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $4,598.13 | $8,360.24 | $1,946.91 – $1,946.91 | 1 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $13.92 – $13.92 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $645.61 – $6,969.00 | 7 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $533.37 – $6,969.00 | 7 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $427.18 – $6,969.00 | 7 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $560.88 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $648.54 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $972.45 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $542.57 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $557.80 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $513.52 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $684.15 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $688.39 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $583.42 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $728.42 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $877.65 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $635.94 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $662.34 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $775.26 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,025.37 – $6,969.00 | 7 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,276.60 – $6,969.00 | 7 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $73.04 – $73.04 | 1 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $53.48 – $53.48 | 1 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $58.19 – $58.19 | 1 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $491.46 – $491.46 | 1 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $487.77 – $487.77 | 1 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $104.45 – $104.45 | 1 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $104.45 – $104.45 | 1 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $88.51 – $88.51 | 1 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $63.52 – $63.52 | 1 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $69.83 – $69.83 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $2,431.00 | $4,420.00 | $355.02 – $662.62 | 2 |
| Knee MRI (with contrast) CPT 73722 | $1,948.38 | $3,542.50 | $293.02 – $1,287.32 | 2 |
| Knee MRI (without contrast) CPT 73721 | $1,315.60 | $2,392.00 | $163.15 – $414.23 | 2 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $214.47 – $214.47 | 1 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,335.50 – $1,335.50 | 1 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $886.06 – $886.06 | 1 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $316.85 – $316.85 | 1 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $596.84 – $596.84 | 1 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $417.64 – $417.64 | 1 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $347.67 – $347.67 | 1 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $1,478.79 – $1,478.79 | 1 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $1,847.54 – $1,847.54 | 1 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,113.60 – $1,113.60 | 1 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $787.30 – $787.30 | 1 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $10,593.58 – $10,593.58 | 1 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $785.12 – $785.12 | 1 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,308.65 – $1,308.65 | 1 |
| Knee X-ray CPT 73564 | $394.90 | $718.00 | $27.33 – $196.15 | 3 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $297.38 – $297.38 | 1 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $2,573.03 – $2,573.03 | 1 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $419.13 – $419.13 | 1 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $419.13 – $419.13 | 1 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $645.03 – $645.03 | 1 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $68.54 – $68.54 | 1 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $97.25 – $97.25 | 1 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $653.85 – $653.85 | 1 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $655.79 – $655.79 | 1 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $933.56 – $933.56 | 1 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $204.30 – $204.30 | 1 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $530.35 | $964.28 | $574.04 – $574.04 | 1 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $764.92 – $764.92 | 1 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,377.81 – $1,377.81 | 1 |
| Kras gene addl variants CPT 81276 | not published | not published | $193.25 – $376.94 | 3 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $193.25 – $376.94 | 3 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $144.23 – $144.23 | 1 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,009.00 – $7,415.00 | 6 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,009.00 – $7,415.00 | 6 |
| Kyphosis pad HCPCS L1020 | not published | not published | $59.19 – $59.19 | 1 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $85.38 – $85.38 | 1 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $52.91 | $96.20 | $19.93 – $19.93 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $16.67 – $16.67 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.41 – $0.63 | 2 |
| Labioplasty 56800 CPT 56800 | not published | not published | $248.28 – $4,510.00 | 7 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $284.94 – $284.94 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | not published | $0.20 – $0.20 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $31.90 | $58.00 | $6.04 – $11.49 | 3 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $0.01 – $4.47 | 2 |
| Lactic acid CPT 83605 | $192.50 | $350.00 | $11.57 – $22.30 | 3 |
| Lactoferrin fecal qualitative CPT 83630 | $25.30 | $46.00 | $19.70 – $38.50 | 3 |
| Lactoferrin fecal quant CPT 83631 | $185.35 | $337.00 | $19.63 – $38.50 | 3 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $262.19 – $11,867.00 | 5 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,355.40 – $11,867.00 | 6 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,166.80 – $11,867.00 | 6 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,279.87 – $11,867.00 | 6 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $196.18 – $11,867.00 | 5 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,009.00 – $11,867.00 | 6 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $2,009.00 – $11,867.00 | 6 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $1,838.25 – $11,867.00 | 6 |
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.