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 |
|---|---|---|---|---|
| Measure ureter pressure CPT 50686 | not published | not published | $97.80 – $3,868.00 | 6 |
| Mecasermin injection HCPCS J2170 | not published | not published | $2.63 – $2.63 | 1 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $300.39 – $300.39 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $0.01 – $0.01 | 1 |
| #mec-opiates CPT 80356 | $108.90 | $198.00 | $24.08 – $24.08 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | $1,081.85 | $1,967.00 | $150.00 – $292.49 | 3 |
| Mecp2 gene full seq CPT 81302 | $1,052.15 | $1,913.00 | $527.87 – $1,030.16 | 3 |
| Mecp2 gene known variant CPT 81303 | $453.75 | $825.00 | $120.00 – $234.40 | 3 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $138.00 | $250.90 | $48.74 – $48.74 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $581.98 – $6,335.00 | 7 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $428.60 – $5,925.00 | 6 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $327.91 – $5,925.00 | 6 |
| Medical services after hrs CPT 99050 | not published | not published | $18.36 – $18.36 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $228.37 – $842.86 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.01 – $0.01 | 1 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $18.36 – $18.36 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $18.36 – $18.36 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.28 – $0.28 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $420.39 – $420.39 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $840.80 – $840.80 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $1,693.39 – $1,693.39 | 1 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.34 – $9.34 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $380.19 – $636.47 | 2 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $138.99 – $250.21 | 2 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $27.96 – $49.39 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $149.87 – $337.95 | 2 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $6.41 – $6.41 | 1 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $299.81 – $299.81 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $60.32 – $166.48 | 2 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $115.78 – $115.78 | 1 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $235.24 – $235.24 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,752.38 – $6,969.00 | 7 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $16.46 – $29.11 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $18.44 – $58.01 | 3 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $2.91 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.51 – $0.78 | 2 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $265.46 – $6,026.00 | 5 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.54 – $3.45 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $81.40 | $148.00 | $8.46 – $16.22 | 3 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $73.15 | $133.00 | $10.56 – $20.94 | 3 |
| Metabolic panel ionized ca CPT 80047 | $69.30 | $126.00 | $11.74 – $27.02 | 3 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,147.18 – $1,147.18 | 1 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $255.35 – $255.35 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.01 – $3.26 | 2 |
| Methadone injection HCPCS J1230 | not published | not published | $26.61 – $35.85 | 2 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $0.31 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.56 – $8.88 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.23 – $0.35 | 2 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.62 – $5.22 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $74.98 | 3 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $0.01 – $0.01 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $0.01 – $0.01 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $9.53 – $14.69 | 2 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $2.62 – $38.43 | 2 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.36 – $1.36 | 1 |
| Methylphenidate CPT 80360 | $110.00 | $200.00 | $24.08 – $24.08 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.20 – $0.27 | 2 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.14 – $0.22 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.30 – $0.45 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.16 – $2.01 | 2 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.15 – $0.23 | 2 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.01 – $0.05 | 2 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $177.66 | 3 |
| Mgmt promoter methylation analysis CPT 81287 | $297.55 | $541.00 | $84.76 – $124.64 | 2 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.36 – $0.47 | 2 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $12.16 | 3 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $14.38 – $78.35 | 3 |
| Microdissection laser CPT 88380 | not published | not published | $74.59 – $145.79 | 3 |
| Microdissection manual CPT 88381 | $132.55 | $241.00 | $96.32 – $370.62 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $43.91 | 3 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $3,323.05 – $3,323.05 | 1 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $680.24 | 3 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $237.24 – $3,868.00 | 4 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $124.65 – $124.65 | 1 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $2,009.00 – $5,925.00 | 5 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.19 – $0.29 | 2 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.19 – $0.38 | 2 |
| Middle cerebral artery echo CPT 76821 | $750.75 | $1,365.00 | $56.03 – $196.15 | 3 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $36.55 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $0.08 – $2.70 | 2 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $389.23 – $389.23 | 1 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $1.65 – $4.27 | 2 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.18 – $0.18 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $169.80 – $169.80 | 1 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $26.10 – $112.38 | 3 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.02 – $1.02 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $6,488.30 | 3 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $32.84 – $76.48 | 3 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $33.23 – $590.88 | 3 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $34.38 – $100.35 | 3 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Mlh1 gene CPT 81288 | not published | not published | $162.85 – $375.59 | 3 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $194.02 – $395.18 | 3 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $657.58 – $1,318.61 | 3 |
| Mlh1 gene known variants CPT 81293 | $617.65 | $1,123.00 | $263.60 – $645.79 | 3 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $21.83 – $21.83 | 1 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $6.14 – $6.14 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,101.10 – $5,560.00 | 7 |
| Mnl appl strs jt radiography CPT 77071 | $400.98 | $729.05 | $48.46 – $159.49 | 3 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $87.41 – $1,486.00 | 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.