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 |
|---|---|---|---|---|
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $840.97 – $7,351.00 | 4 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $681.48 – $7,351.00 | 4 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,161.27 – $41,313.00 | 6 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $1,225.05 – $9,268.00 | 6 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,804.23 – $22,871.00 | 6 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $1,051.83 – $5,925.00 | 6 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $1,954.78 – $9,268.00 | 6 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,870.05 – $22,871.00 | 6 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,014.87 – $4,510.00 | 6 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $2,009.00 – $5,320.00 | 5 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $2,009.00 – $5,320.00 | 5 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $200.41 – $22,871.00 | 4 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $188.57 – $8,785.00 | 5 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $155.53 – $8,785.00 | 5 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $179.72 – $3,935.00 | 7 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $157.28 – $3,935.00 | 7 |
| Largsc w/ther injection CPT 31573 | not published | not published | $155.53 – $8,785.00 | 5 |
| Laronidase injection HCPCS J1931 | not published | not published | $43.09 – $63.72 | 3 |
| Laryngeal function studies CPT 92520 | not published | not published | $42.32 – $42.32 | 1 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,037.06 – $4,510.00 | 6 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,556.91 – $4,510.00 | 6 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,469.88 – $3,868.00 | 4 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,483.65 – $3,868.00 | 4 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,616.98 – $3,868.00 | 4 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,700.36 – $3,868.00 | 4 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,253.87 – $6,335.00 | 7 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,072.72 – $5,050.00 | 4 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $241.80 – $3,935.00 | 7 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $34.40 – $34.40 | 1 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $69.13 – $69.13 | 1 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $329.95 – $6,335.00 | 7 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $262.79 – $3,935.00 | 7 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $151.48 – $3,935.00 | 7 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $169.98 – $3,935.00 | 7 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,613.70 | $2,934.00 | $167.39 – $3,886.00 | 7 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $205.46 – $3,886.00 | 7 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $147.40 – $3,868.00 | 6 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $199.31 – $3,935.00 | 7 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $221.43 – $4,510.00 | 7 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $254.48 – $4,510.00 | 7 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $223.23 – $4,510.00 | 7 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $206.35 – $3,935.00 | 7 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $129.29 – $3,935.00 | 7 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $127.83 – $3,935.00 | 7 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $116.01 – $3,886.00 | 7 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $360.80 – $6,335.00 | 7 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $278.02 – $5,560.00 | 7 |
| Laser surgery eye strands CPT 67031 | not published | not published | $360.71 – $3,935.00 | 7 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $138.03 – $3,935.00 | 7 |
| Laser surgery of prostate CPT 52647 | not published | not published | $671.59 – $11,867.00 | 7 |
| Laser surgery of prostate CPT 52648 | not published | not published | $716.28 – $11,867.00 | 7 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $97.38 – $3,886.00 | 7 |
| Laser treatment of retina CPT 67039 | not published | not published | $980.25 – $8,785.00 | 7 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,059.65 – $8,785.00 | 7 |
| Lateral canthopexy CPT 21282 | not published | not published | $387.79 – $6,335.00 | 7 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $179.17 – $179.17 | 1 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $53.82 – $53.82 | 1 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $52.29 – $52.29 | 1 |
| Lat retinacular release open CPT 27425 | not published | not published | $462.67 – $8,785.00 | 7 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $108.83 – $3,886.00 | 7 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,167.29 – $6,335.00 | 7 |
| Lb with mastopexy 15839 CPT 15839 | $2,111.40 | $3,838.90 | $760.89 – $4,510.00 | 7 |
| Lead capillary CPT 83655 | $99.00 | $180.00 | $12.11 – $23.65 | 3 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $310.41 | $564.38 | not published | 0 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $249.22 – $249.22 | 1 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $1,807.94 | $3,287.17 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,405.27 – $4,510.00 | 6 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,501.61 – $4,510.00 | 6 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,875.40 – $4,510.00 | 6 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,516.16 – $4,510.00 | 6 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,749.70 – $4,510.00 | 6 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.49 – $1.49 | 1 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $0.99 – $0.99 | 1 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $1.49 – $1.49 | 1 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,224.05 – $1,224.05 | 1 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,059.80 – $1,059.80 | 1 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $851.77 – $851.77 | 1 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,109.29 – $1,109.29 | 1 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $39.18 | 3 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $81.74 | 3 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,144.41 – $1,144.41 | 1 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,172.74 – $4,510.00 | 6 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,144.00 | $2,080.00 | $160.73 – $315.35 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $23.65 | 3 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $620.22 – $3,886.00 | 7 |
| Lengthening of palate CPT 42227 | not published | not published | $871.43 – $4,510.00 | 6 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $929.04 – $6,335.00 | 7 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,236.09 – $4,510.00 | 6 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $527.93 – $3,935.00 | 7 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $674.31 – $4,510.00 | 7 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $913.49 – $4,510.00 | 7 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,095.67 – $4,510.00 | 6 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $914.33 – $4,510.00 | 7 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,036.64 – $5,560.00 | 7 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,166.02 – $5,560.00 | 7 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $143.82 | $261.49 | $115.77 – $115.77 | 1 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $154.17 | $280.31 | $115.77 – $115.77 | 1 |
| Lepirudin HCPCS J1945 | not published | not published | $0.01 – $0.01 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $4.59 – $5.97 | 2 |
| Leukacyte transfusion CPT 86950 | not published | not published | $71.55 – $149.97 | 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.