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 |
|---|---|---|---|---|
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $20.26 | 3 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $180.52 – $327.31 | 3 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $0.01 – $3,209.75 | 3 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $0.01 – $0.01 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $23.23 – $23.23 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $0.06 – $1,310.87 | 3 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $59.71 – $146.39 | 3 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.19 – $0.51 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.09 – $0.17 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.06 – $0.07 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $62.70 | $114.00 | $13.25 – $25.67 | 3 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $2.28 – $4.71 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $1.32 – $12.75 | 2 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $10,398.93 | $18,907.14 | $284.85 – $6,976.00 | 6 |
| Liberta rc ipg HCPCS C1820 | $736.11 | $1,338.38 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.08 – $0.08 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.02 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $81.95 | $149.00 | $14.69 – $28.38 | 3 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $144.32 – $144.32 | 1 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $53.73 – $53.73 | 1 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $27.80 – $27.80 | 1 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $412.40 – $412.40 | 1 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,601.76 – $4,510.00 | 6 |
| Ligate leg veins open CPT 37761 | not published | not published | $591.30 – $3,935.00 | 6 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $654.96 – $4,510.00 | 7 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $79.86 – $4,510.00 | 6 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,619.77 – $4,510.00 | 6 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $509.88 – $4,510.00 | 7 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $465.12 – $4,510.00 | 7 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $372.91 – $6,335.00 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $217.73 – $3,935.00 | 7 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,383.84 – $4,510.00 | 6 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $264.78 – $3,935.00 | 7 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $768.74 – $4,510.00 | 6 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $846.10 – $4,510.00 | 6 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $772.50 – $4,510.00 | 6 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,173.24 – $4,510.00 | 6 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $404.43 – $4,510.00 | 6 |
| Ligation major artery neck CPT 37615 | not published | not published | $530.74 – $4,510.00 | 6 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $590.60 – $3,935.00 | 7 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,425.41 – $4,510.00 | 6 |
| Ligation of femoral vein CPT 37650 | not published | not published | $495.94 – $3,935.00 | 7 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,736.58 – $4,510.00 | 6 |
| Ligation of neck artery CPT 37606 | not published | not published | $517.31 – $4,510.00 | 6 |
| Ligation of salivary duct CPT 42665 | not published | not published | $214.65 – $8,785.00 | 7 |
| Ligation of shunt CPT 49428 | not published | not published | $559.72 – $4,510.00 | 6 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $856.78 – $4,510.00 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $279.33 – $4,510.00 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | $3,584.88 | $6,517.97 | $401.55 – $4,510.00 | 7 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $628.19 – $4,510.00 | 7 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $905.11 – $905.11 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $61.63 – $61.63 | 1 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $229.85 – $3,886.00 | 5 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $32.55 – $32.55 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $105.38 – $137.66 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $93.51 – $122.37 | 3 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $84.82 – $84.82 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $17.53 – $17.53 | 1 |
| Lincomycin injection HCPCS J2010 | not published | not published | $0.01 – $8.34 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $4.03 – $6.62 | 2 |
| Lipase CPT 83690 | $36.30 | $66.00 | $6.89 – $13.51 | 3 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $371.54 – $3,935.00 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $66.21 | 3 |
| Lipoprotein blood quant CPT 83704 | $205.15 | $373.00 | $34.19 – $66.88 | 3 |
| Lipoprotein direct measurement hdl CPT 83718 | $47.85 | $87.00 | $8.19 – $16.22 | 3 |
| Lipoprotein direct measurement ldl CPT 83721 | $77.00 | $140.00 | $10.50 – $20.26 | 3 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $66.88 | 3 |
| Lip surgery procedure CPT 40799 | not published | not published | $540.00 – $4,510.00 | 5 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.01 – $1,043,508.33 | 3 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $25.67 | 3 |
| Lith ion batt cid, ear level HCPCS L8624 | $338.24 | $614.98 | $117.74 – $117.74 | 1 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | $4,168.76 | $7,579.56 | $47.24 – $47.24 | 1 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $368.48 – $368.48 | 1 |
| Lithium therapeutic drug level CPT 80178 | $105.05 | $191.00 | $6.61 – $12.83 | 3 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $139.43 – $1,486.00 | 2 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $930.11 – $4,510.00 | 6 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,107.57 – $4,510.00 | 6 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,262.28 – $4,510.00 | 6 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $179.73 | 2 |
| Liver elastography 91200 CPT 91200 | not published | not published | $21.03 – $21.03 | 1 |
| Liver Function Test CPT 80076 | $37.95 | $69.00 | $8.17 – $16.22 | 3 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,523.24 – $4,510.00 | 6 |
| Liver imaging CPT 78201 | $1,019.70 | $1,854.00 | $169.86 – $880.92 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $180.36 – $880.92 | 3 |
| Liver/spleen imag static only CPT 78215 | $1,336.50 | $2,430.00 | $173.36 – $678.82 | 3 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,532.85 | $2,787.00 | $99.85 – $678.82 | 3 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $73.36 – $3,868.00 | 3 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $479.22 – $4,510.00 | 7 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,072.82 – $2,072.82 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.01 – $1.78 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $0.47 – $0.47 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $35.26 – $350.00 | 3 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $82.30 – $82.30 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.53 – $2.55 | 2 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $56.81 – $56.81 | 1 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $56.81 – $56.81 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $45.54 – $45.54 | 1 |
| Low back disk surgery CPT 63030 | not published | not published | $1,022.74 – $11,867.00 | 6 |
| Low cost skin substitute app HCPCS C5271 | $1,265.55 | $2,301.00 | $540.00 – $2,939.00 | 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.