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 |
|---|---|---|---|---|
| Mayo hvdip HIV 1 antibody CPT 86701 | $36.85 | $67.00 | $8.89 – $17.57 | 3 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $36.85 | $67.00 | $13.52 – $26.34 | 3 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $77.00 | $140.00 | $27.17 – $53.36 | 3 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $704.00 | $1,280.00 | $17.27 – $33.77 | 3 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $704.55 | $1,281.00 | $14.99 – $29.05 | 3 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $129.80 | $236.00 | $20.81 – $40.53 | 3 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $89.10 | $162.00 | $20.81 – $40.53 | 3 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $35.80 | 2 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $66.55 | $121.00 | $16.07 – $31.07 | 3 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $165.00 | $300.00 | $11.98 – $23.65 | 3 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $183.15 | $333.00 | $35.09 – $68.23 | 3 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $50.60 | $92.00 | $35.09 – $68.23 | 3 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $106.15 | $193.00 | $35.09 – $68.23 | 3 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $35.09 – $35.80 | 2 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $321.20 | $584.00 | $42.84 – $83.76 | 3 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $119.35 | $217.00 | $72.19 – $141.18 | 3 |
| Mayo infliximab therapeutic drug level CPT 80230 | $223.85 | $407.00 | $38.57 – $74.98 | 3 |
| Mayo inhab inhibin a CPT 86336 | $90.20 | $164.00 | $15.59 – $30.40 | 3 |
| Mayo insft insulin free CPT 83527 | $21.45 | $39.00 | $11.46 – $24.99 | 3 |
| Mayo insulin antibodies CPT 86337 | $128.15 | $233.00 | $21.41 – $41.89 | 3 |
| Mayo iodine CPT 83789 | $743.60 | $1,352.00 | $24.11 – $47.29 | 3 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $353.10 | $642.00 | $27.11 – $52.69 | 3 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $62.15 | $113.00 | $27.11 – $52.69 | 3 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $89.65 | $163.00 | $13.25 – $25.67 | 3 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $54.45 | $99.00 | $12.79 – $24.99 | 3 |
| Mayo legionella antibody CPT 86713 | $35.20 | $64.00 | $15.30 – $29.73 | 3 |
| Mayo leptospira antibody igm CPT 86720 | $83.60 | $152.00 | $16.20 – $31.75 | 3 |
| Mayo lipoprotein electrophoresis CPT 83700 | $29.15 | $53.00 | $11.26 – $22.30 | 3 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $79.20 | $144.00 | $15.49 – $30.40 | 3 |
| Mayo manganese CPT 83785 | $156.75 | $285.00 | $26.65 – $52.01 | 3 |
| Mayo metanephrines plasma CPT 83835 | $144.10 | $262.00 | $16.94 – $33.10 | 3 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $95.15 | $173.00 | $24.08 – $24.08 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $95.70 | $174.00 | $18.40 – $23.92 | 3 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $49.50 | $90.00 | $18.40 – $18.77 | 2 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $130.90 | $238.00 | $14.55 – $28.38 | 3 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $273.35 | $497.00 | $18.64 – $36.48 | 3 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $831.05 | $1,511.00 | $137.00 – $267.51 | 3 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $361.39 | 3 |
| Mayo muramidase CPT 85549 | $92.40 | $168.00 | $18.75 – $36.48 | 3 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $18.40 – $18.77 | 2 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $161.15 | $293.00 | $18.05 – $35.13 | 3 |
| Mayo myoglobin CPT 83874 | $112.20 | $204.00 | $12.92 – $24.99 | 3 |
| Mayo nickel CPT 83885 | not published | not published | $24.51 – $47.97 | 3 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $175.45 | $319.00 | $24.08 – $24.08 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $33.00 | $60.00 | $24.08 – $24.08 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $119.35 | $217.00 | $24.08 – $24.08 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $170.50 | $310.00 | $21.21 – $41.21 | 3 |
| Mayo organic acids qualitative each specimen CPT 83919 | $176.00 | $320.00 | $16.45 – $32.42 | 3 |
| Mayo oxalate 24 hour urine CPT 83945 | $73.70 | $134.00 | $14.45 – $28.38 | 3 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $205.15 | $373.00 | $11.53 – $22.30 | 3 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $69.30 | $126.00 | $15.03 – $29.05 | 3 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $371.25 | $675.00 | $12.05 – $23.65 | 3 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $35.09 – $68.23 | 3 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $49.50 | $90.00 | $17.98 – $35.13 | 3 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $79.20 | $144.00 | $13.76 – $27.02 | 3 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $36.85 | $67.00 | $5.81 – $16.22 | 3 |
| Mayo pregnenolone CPT 84140 | $123.75 | $225.00 | $19.10 – $40.53 | 3 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $37.95 | $69.00 | $16.59 – $32.42 | 3 |
| Mayo proinsulin CPT 84206 | not published | not published | $24.73 – $52.01 | 3 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $18.39 – $35.81 | 3 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $276.10 | $502.00 | $18.40 – $35.81 | 3 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $26.34 | 3 |
| Mayo receptor assay transferrin soluble CPT 84238 | $195.25 | $355.00 | $36.57 – $71.60 | 3 |
| Mayo renin CPT 84244 | $178.20 | $324.00 | $21.99 – $43.23 | 3 |
| Mayo repu protein electrophoresis urine CPT 84166 | $108.90 | $198.00 | $17.83 – $35.13 | 3 |
| Mayo selenium CPT 84255 | $79.75 | $145.00 | $25.53 – $49.99 | 3 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $30.40 | 3 |
| Mayo serotonin CPT 84260 | $284.35 | $517.00 | $30.98 – $60.80 | 3 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $106.70 | $194.00 | $19.35 – $37.83 | 3 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $247.50 | $450.00 | $13.73 – $27.02 | 3 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $69.30 | $126.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $33.00 | $60.00 | $4.27 – $8.10 | 3 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $408.01 | 3 |
| Mayo tgrp testosterone free CPT 84402 | $129.80 | $236.00 | $25.47 – $49.99 | 3 |
| Mayo tgrp testosterone total CPT 84403 | $117.70 | $214.00 | $25.81 – $50.66 | 3 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $69.85 | $127.00 | $22.17 – $22.62 | 2 |
| Mayo thyroglobulin CPT 84432 | $144.65 | $263.00 | $16.06 – $31.07 | 3 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $119.35 | $217.00 | $8.84 – $19.59 | 3 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $783.75 | $1,425.00 | $8.13 – $24.32 | 3 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $100.65 | $183.00 | $24.08 – $24.08 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $99.98 | 3 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $120.45 | $219.00 | $12.06 – $27.69 | 3 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $64.35 | $117.00 | $13.54 – $26.34 | 3 |
| Mayo vasoactive intestinal peptide CPT 84586 | $272.80 | $496.00 | $8.26 – $68.90 | 3 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $185.35 | $337.00 | $19.37 – $39.18 | 3 |
| Mayo vitamin b3 (niacin) CPT 84591 | $111.65 | $203.00 | $12.75 – $33.10 | 3 |
| Mayo vitamin k CPT 84597 | $96.80 | $176.00 | $13.72 – $27.02 | 3 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $177.65 | $323.00 | $13.25 – $25.67 | 3 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $889.52 – $4,510.00 | 6 |
| Mcoln1 gene CPT 81290 | $204.60 | $372.00 | $39.31 – $77.01 | 3 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $431.16 – $6,969.00 | 7 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $541.38 – $6,969.00 | 7 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $502.31 – $6,969.00 | 7 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $21.38 – $21.38 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $957.06 – $11,867.00 | 6 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $9.43 – $9.43 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $9.06 – $9.06 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $32.00 – $32.00 | 1 |
| Measure kidney pressure CPT 50396 | $919.49 | $1,671.80 | $124.41 – $3,886.00 | 7 |
| Measurement post void urine by ultrasound CPT 51798 | $168.74 | $306.80 | $18.58 – $3,868.00 | 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.