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 |
|---|---|---|---|---|
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $122.33 – $1,486.00 | 3 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $141.16 – $1,486.00 | 3 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $203.71 – $3,886.00 | 7 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $426.94 – $5,560.00 | 6 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $264.47 – $2,291.00 | 6 |
| Mnt subs tx for change dx HCPCS G0270 | $42.73 | $77.69 | $27.73 – $27.73 | 1 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $474.70 – $474.70 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $128.16 – $4,510.00 | 6 |
| Modification of contact lens CPT 92325 | not published | not published | $41.68 – $41.68 | 1 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,440.18 – $4,510.00 | 6 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $613.44 – $4,510.00 | 6 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $330.00 | $600.00 | $9.73 – $12.29 | 3 |
| Molded inner boot HCPCS L2280 | not published | not published | $310.06 – $310.06 | 1 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $1,921.39 – $1,921.39 | 1 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $2,990.30 – $2,990.30 | 1 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,028.37 – $1,028.37 | 1 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $3,177.61 – $3,177.61 | 1 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.09 – $6.02 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $13.18 – $21.04 | 3 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $213.63 – $213.63 | 1 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $256.67 – $256.67 | 1 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $13,689.43 – $13,689.43 | 1 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $4,495.72 | $8,174.03 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $613.95 – $1,180.87 | 3 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $51.30 – $51.30 | 1 |
| Mopath procedure level 1 CPT 81400 | $469.15 | $853.00 | $63.96 – $124.97 | 3 |
| Mopath procedure level 3 CPT 81402 | $463.65 | $843.00 | $150.33 – $293.18 | 3 |
| Mopath procedure level 5 CPT 81404 | $1,070.30 | $1,946.00 | $274.83 – $536.35 | 3 |
| Mopath procedure level 6 CPT 81405 | $1,065.35 | $1,937.00 | $301.35 – $588.38 | 3 |
| Mopath procedure level 7 CPT 81406 | $2,291.85 | $4,167.00 | $282.88 – $551.90 | 3 |
| Mopath procedure level 8 CPT 81407 | $1,065.35 | $1,937.00 | $846.27 – $1,651.63 | 3 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $3,903.79 | 3 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $4.05 – $5.28 | 2 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $5.35 – $16.23 | 2 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.18 – $8.18 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $9.56 – $22.36 | 2 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $149.16 – $563.31 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $278.85 | $507.00 | $107.14 – $291.26 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $221.65 | $403.00 | $78.79 – $158.01 | 3 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $16.55 – $1,214.34 | 3 |
| Motion analysis video/3d CPT 96000 | not published | not published | $97.80 – $97.80 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $104.43 – $104.43 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $67.94 – $67.94 | 1 |
| Mouth piece HCPCS A4617 | not published | not published | $2.63 – $2.63 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $320.90 – $3,935.00 | 7 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $38.53 – $87.14 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $487.85 | $887.00 | $145.30 – $679.44 | 3 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $47.64 – $165.44 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | $121.00 | $220.00 | $89.67 – $149.16 | 3 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $293.18 | 3 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $39.18 | 3 |
| M.pneumon dna quant CPT 87582 | not published | not published | $57.96 – $590.40 | 3 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $0.01 – $0.01 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $306.36 – $538.25 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $301.10 – $532.60 | 2 |
| MRA chest w IV cont HCPCS C8909 | $2,445.30 | $4,446.00 | $463.45 – $662.62 | 2 |
| MRA chest wo IV cont HCPCS C8910 | $1,901.90 | $3,458.00 | $279.04 – $414.23 | 2 |
| MRA chest wwo IV cont HCPCS C8911 | $3,192.48 | $5,804.50 | $463.45 – $662.62 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $305.65 – $534.49 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $305.31 – $537.62 | 2 |
| MRA pelvis w IV cont HCPCS C8918 | $1,805.38 | $3,282.50 | $463.45 – $662.62 | 2 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,573.00 | $2,860.00 | $279.04 – $414.23 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $318.95 – $554.60 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $311.25 – $554.60 | 2 |
| MRA w/cont, abd HCPCS C8900 | $1,766.05 | $3,211.00 | $463.45 – $662.62 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | $815.10 | $1,482.00 | $463.45 – $662.62 | 2 |
| Mra, w/dye, spinal canal HCPCS C8931 | $1,133.28 | $2,060.50 | $463.45 – $662.62 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | $2,445.30 | $4,446.00 | $463.45 – $662.62 | 2 |
| MRA without cont, abd HCPCS C8901 | $1,751.75 | $3,185.00 | $279.04 – $414.23 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $279.04 – $414.23 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | $1,061.78 | $1,930.50 | $279.04 – $414.23 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $279.04 – $414.23 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | $3,056.62 | $5,557.50 | $463.45 – $662.62 | 2 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,192.48 | $5,804.50 | $463.45 – $662.62 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,037.75 | $3,705.00 | $463.45 – $662.62 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $1,204.78 | $2,190.50 | $463.45 – $662.62 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $3,360.50 | $6,110.00 | $463.45 – $662.62 | 2 |
| Mr elastography CPT 76391 | not published | not published | $179.14 – $414.23 | 2 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,186.09 – $5,925.00 | 6 |
| MRI brain w/dye CPT 70558 | not published | not published | $321.39 – $415.90 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $279.03 – $869.20 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $321.39 – $470.51 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $174.91 – $414.23 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $288.12 – $511.25 | 2 |
| MRI breast without cont bi CPT 77047 | not published | not published | $173.85 – $414.23 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $286.70 – $508.73 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,766.05 | $3,211.00 | $196.41 – $414.23 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,769.25 | $5,035.00 | $288.47 – $662.62 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $3,360.50 | $6,110.00 | $347.31 – $1,287.32 | 2 |
| MRI chest without contrast CPT 71550 | $1,766.05 | $3,211.00 | $279.05 – $414.23 | 2 |
| MRI chest without & w/contrast CPT 71552 | $2,455.75 | $4,465.00 | $455.83 – $662.62 | 2 |
| MRI chest w IV cont CPT 71551 | $2,309.45 | $4,199.00 | $362.72 – $1,287.32 | 2 |
| MRI compatible system HCPCS L0859 | not published | not published | $834.16 – $834.16 | 1 |
| MRI fetal ea addl gestation CPT 74713 | $646.36 | $1,175.20 | $138.50 – $138.50 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $652.30 | $1,186.00 | $265.84 – $414.23 | 2 |
| MRI guid ndl plc s&i CPT 77021 | $975.26 | $1,773.20 | $329.08 – $329.08 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $260.83 – $260.83 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $2,250.90 – $2,250.90 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,431.00 | $4,420.00 | $316.16 – $662.62 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,766.05 | $3,211.00 | $279.05 – $414.23 | 2 |
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.