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 |
|---|---|---|---|---|
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,189.76 – $4,510.00 | 6 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $138.07 – $138.07 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $173.78 – $173.78 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $678.78 – $4,510.00 | 7 |
| Mast mod rad CPT 19307 | not published | not published | $1,244.97 – $11,867.00 | 6 |
| Mastoidectomy CPT 69501 | not published | not published | $755.88 – $8,785.00 | 7 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,006.79 – $8,785.00 | 7 |
| Mastoids complete CPT 70130 | not published | not published | $36.43 – $196.15 | 3 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,298.81 – $8,785.00 | 7 |
| Mastopexy CPT 19316 | not published | not published | $796.34 – $5,560.00 | 7 |
| Mast radical CPT 19305 | not published | not published | $1,172.70 – $4,510.00 | 6 |
| Mast rad urban type CPT 19306 | not published | not published | $1,246.33 – $4,510.00 | 6 |
| Mast simple complete CPT 19303 | not published | not published | $1,051.90 – $5,560.00 | 7 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $141.15 – $141.15 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.13 – $37.04 | 2 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $68.23 | 3 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $53.36 | 3 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $83.76 | 3 |
| Maxillofacial fixation CPT 21100 | not published | not published | $537.89 – $3,935.00 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $143.00 | $260.00 | $14.46 – $28.38 | 3 |
| Mayo aathr protein s free CPT 85306 | $228.25 | $415.00 | $15.32 – $29.73 | 3 |
| Mayo activated protein c resistance assay CPT 85307 | $166.65 | $303.00 | $15.32 – $29.73 | 3 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $210.10 | $382.00 | $38.57 – $74.98 | 3 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $90.75 | $165.00 | $13.03 – $13.03 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $52.25 | $95.00 | $24.08 – $24.08 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $87.45 | $159.00 | $14.78 – $29.05 | 3 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $109.45 | $199.00 | $24.08 – $24.08 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $145.20 | $264.00 | $13.44 – $26.34 | 3 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $62.70 | $114.00 | $15.08 – $29.73 | 3 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $33.00 | $60.00 | $12.68 – $12.68 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $119.35 | $217.00 | $24.08 – $24.08 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $918.50 | $1,670.00 | $121.63 – $237.11 | 3 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $753.50 | $1,370.00 | $91.66 – $179.01 | 3 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $327.80 | $596.00 | $137.00 – $267.51 | 3 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,602.05 | $4,731.00 | $1,160.00 – $2,264.32 | 3 |
| Mayo androstenedione CPT 82157 | $130.90 | $238.00 | $29.28 – $57.42 | 3 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $103.40 | $188.00 | $14.60 – $28.38 | 3 |
| Mayo antithrombin iii antigen CPT 85301 | $41.80 | $76.00 | $10.81 – $20.94 | 3 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $57.20 | $104.00 | $15.05 – $29.05 | 3 |
| Mayo avwpr vw factor activity CPT 85397 | $146.30 | $266.00 | $30.86 – $60.13 | 3 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $80.30 | $146.00 | $35.09 – $35.80 | 2 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $81.40 | $148.00 | $24.08 – $24.08 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $23.10 | $42.00 | $8.84 – $19.59 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $301.95 | $549.00 | $144.84 – $283.04 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $265.10 | $482.00 | $214.62 – $418.82 | 3 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $51.15 | $93.00 | $12.90 – $24.99 | 3 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $160.60 | $292.00 | $24.08 – $24.08 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $88.00 | $160.00 | $13.19 – $25.67 | 3 |
| Mayo brcmg brucella antibody igm CPT 86622 | $37.40 | $68.00 | $8.93 – $17.57 | 3 |
| Mayo c1 esterase inhibitor CPT 83883 | $144.65 | $263.00 | $13.60 – $26.34 | 3 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $118.80 | $216.00 | $24.08 – $24.08 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $86.90 | $158.00 | $16.87 – $33.10 | 3 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $196.90 | $358.00 | $12.74 – $52.01 | 3 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $403.15 | $733.00 | $122.22 – $238.46 | 3 |
| Mayo ceruloplasmin CPT 82390 | $61.05 | $111.00 | $10.74 – $20.94 | 3 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $298.65 | $543.00 | $14.12 – $27.69 | 3 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $89.10 | $162.00 | $12.88 – $24.99 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $48.95 | $89.00 | $11.82 – $22.97 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $52.80 | $96.00 | $12.68 – $24.99 | 3 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $550.00 | $1,000.00 | $116.49 – $227.65 | 3 |
| Mayo chromium CPT 82495 | $80.85 | $147.00 | $20.28 – $39.85 | 3 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $95.15 | $173.00 | $24.08 – $24.08 | 1 |
| Mayo coccidioides antibody CPT 86635 | $37.95 | $69.00 | $11.47 – $22.30 | 3 |
| Mayo cocou cortisone urine CPT 82542 | $475.20 | $864.00 | $24.09 – $47.29 | 3 |
| Mayo cortisol free CPT 82530 | $167.75 | $305.00 | $16.71 – $32.42 | 3 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $53.35 | $97.00 | $42.13 – $42.98 | 2 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $141.35 | $257.00 | $4.90 – $23.65 | 3 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $95.15 | $173.00 | $22.54 – $22.54 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $81.40 | $148.00 | $15.50 – $15.50 | 1 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $19.40 – $37.83 | 3 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $149.16 – $1,117.06 | 3 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $63.80 | $116.00 | $13.25 – $25.67 | 3 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $309.65 | $563.00 | $25.27 – $49.31 | 3 |
| Mayo dihydrotestosterone CPT 82642 | $139.15 | $253.00 | $29.28 – $57.42 | 3 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $18.91 | 3 |
| Mayo efpo chloride stool CPT 82438 | $50.05 | $91.00 | $5.00 – $9.46 | 3 |
| Mayo estriol CPT 82677 | $56.65 | $103.00 | $24.18 – $47.29 | 3 |
| Mayo estrone CPT 82679 | $68.20 | $124.00 | $24.95 – $48.64 | 3 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $41.25 | $75.00 | $16.34 – $31.75 | 3 |
| Mayo everolimus therapeutic drug level CPT 80169 | $96.25 | $175.00 | $13.73 – $27.02 | 3 |
| Mayo factor ii CPT 85210 | $99.55 | $181.00 | $12.98 – $25.67 | 3 |
| Mayo factor v CPT 85220 | $235.40 | $428.00 | $17.65 – $34.45 | 3 |
| Mayo factor vii CPT 85230 | $167.20 | $304.00 | $17.90 – $35.13 | 3 |
| Mayo factor viii vw factor antigen CPT 85246 | $125.40 | $228.00 | $22.94 – $44.58 | 3 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $905.85 | $1,647.00 | $22.94 – $44.58 | 3 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $181.50 | $330.00 | $22.94 – $44.58 | 3 |
| Mayo factor x CPT 85260 | $205.70 | $374.00 | $17.90 – $35.13 | 3 |
| Mayo factor xi CPT 85270 | $211.75 | $385.00 | $17.90 – $35.13 | 3 |
| Mayo fat/lipids feces quantitative CPT 82710 | $140.80 | $256.00 | $8.91 – $33.10 | 3 |
| Mayo fbl culture fungi blood CPT 87103 | $114.95 | $209.00 | $9.69 – $39.85 | 3 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $11.96 – $157.39 | 3 |
| Mayo ffspg allergen clam igg CPT 86001 | $18.70 | $34.00 | $7.24 – $15.53 | 3 |
| Mayo fibrinogen antigen CPT 85385 | $56.65 | $103.00 | $11.79 – $28.38 | 3 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $168.85 | $307.00 | $18.40 – $42.56 | 3 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,122.35 | $5,677.00 | $218.46 – $218.46 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $37.95 | $69.00 | $4.75 – $9.46 | 3 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $85.25 | $155.00 | $35.09 – $68.23 | 3 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $79.75 | $145.00 | $35.09 – $68.23 | 3 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $64.90 | $118.00 | $13.79 – $27.02 | 3 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $126.50 | $230.00 | $25.81 – $50.66 | 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.