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 |
|---|---|---|---|---|
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,093.75 | $5,625.00 | $385.82 – $662.62 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,766.05 | $3,211.00 | $279.05 – $414.23 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,582.25 | $4,695.00 | $376.02 – $662.62 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,431.00 | $4,420.00 | $314.41 – $662.62 | 2 |
| MRI tmj CPT 70336 | $2,105.68 | $3,828.50 | $240.87 – $414.23 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,766.05 | $3,211.00 | $279.05 – $414.23 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,863.30 | $5,206.00 | $382.67 – $662.62 | 2 |
| MRI upper extremity w/dye CPT 73219 | $2,431.00 | $4,420.00 | $314.76 – $662.62 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $463.45 – $662.62 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $321.39 – $463.45 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $463.45 – $662.62 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $463.45 – $662.62 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $42.75 – $158.49 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $75.41 – $165.22 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $50.02 – $50.02 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $106.92 – $115.30 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $10.38 – $44.08 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $179.78 – $435.10 | 2 |
| Mr spectroscopy CPT 76390 | $3,056.62 | $5,557.50 | $145.62 – $367.59 | 2 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $154.37 – $416.11 | 3 |
| Msh2 gene full seq CPT 81295 | not published | not published | $154.37 – $745.09 | 3 |
| Msh2 gene known variants CPT 81296 | $617.65 | $1,123.00 | $131.81 – $659.30 | 3 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $164.52 – $464.75 | 3 |
| Msh6 gene full seq CPT 81298 | not published | not published | $292.88 – $1,253.07 | 3 |
| Msh6 gene known variants CPT 81299 | $617.65 | $1,123.00 | $164.07 – $601.21 | 3 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Mthfr gene analy common variants CPT 81291 | $176.55 | $321.00 | $60.59 – $127.67 | 3 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $52.69 | 3 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $83.76 | 3 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $11.49 | 3 |
| Mucopolysaccharides CPT 83864 | $252.45 | $459.00 | $27.64 – $55.39 | 3 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $29.05 | 3 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $29.08 – $29.08 | 1 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $3,001.84 – $3,001.84 | 1 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $521.12 – $521.12 | 1 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $32.87 – $32.87 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $22.02 – $22.02 | 1 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $492.19 – $492.19 | 1 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $497.97 – $497.97 | 1 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $32.20 – $32.20 | 1 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $55.60 – $55.60 | 1 |
| Multiple sleep latency test CPT 95805 | $2,235.20 | $4,064.00 | $355.46 – $355.46 | 1 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $2,302.77 – $2,302.77 | 1 |
| Mumps antibody igg CPT 86735 | $73.70 | $134.00 | $13.05 – $25.67 | 3 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,181.09 – $4,510.00 | 7 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,279.50 – $4,510.00 | 7 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,370.23 – $4,510.00 | 7 |
| Muscle test cran nerv unilat CPT 95867 | $632.06 | $1,149.20 | $50.78 – $50.78 | 1 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $64.44 – $64.44 | 1 |
| Muscle test larynx CPT 95865 | $198.06 | $360.10 | $59.19 – $59.19 | 1 |
| Muscle test one fiber CPT 95872 | not published | not published | $42.73 – $42.73 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $1,191.18 – $8,785.00 | 7 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,335.05 – $6,335.00 | 7 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,093.51 – $11,867.00 | 6 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $771.78 – $5,560.00 | 7 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $93.90 | 3 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $39.18 | 3 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $83.76 | 3 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.19 – $0.29 | 2 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.19 – $0.63 | 2 |
| Mycoplasma antibody igm CPT 86738 | $62.70 | $114.00 | $13.24 – $25.67 | 3 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $342.48 | 3 |
| Myelogphy 2/> spine regions CPT 72270 | $2,755.61 | $5,010.20 | $58.48 – $1,287.32 | 3 |
| Myelography l-s spine CPT 72265 | $1,846.84 | $3,357.90 | $48.69 – $1,287.32 | 3 |
| Myelography neck spine CPT 72240 | $2,152.15 | $3,913.00 | $50.78 – $1,287.32 | 3 |
| Myelography thoracic spine CPT 72255 | $2,073.50 | $3,770.00 | $50.09 – $1,287.32 | 3 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,856.14 | $3,374.80 | $134.82 – $5,560.00 | 6 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,377.09 | $2,503.80 | $130.84 – $5,560.00 | 6 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,377.09 | $2,503.80 | $128.68 – $5,560.00 | 6 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,377.09 | $2,503.80 | $132.59 – $5,560.00 | 6 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $1,043.90 | $1,898.00 | $11.53 – $22.30 | 3 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $490.80 – $2,664.61 | 2 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $14.25 – $2,664.61 | 2 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $2,715.89 – $4,950.90 | 2 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $2,715.89 – $4,950.90 | 2 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $820.23 – $2,664.61 | 2 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $2,222.32 – $4,050.90 | 2 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $14.25 – $2,664.61 | 2 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,185.47 – $4,510.00 | 6 |
| Myomectomy abdom method CPT 58140 | not published | not published | $951.49 – $4,510.00 | 6 |
| Myomectomy vag method CPT 58145 | not published | not published | $563.66 – $6,335.00 | 7 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $375.23 – $375.23 | 1 |
| Myringoplasty CPT 69620 | $4,313.60 | $7,842.90 | $504.75 – $3,935.00 | 7 |
| Nabilone oral HCPCS J8650 | not published | not published | $0.01 – $0.01 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.07 – $0.10 | 2 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $0.07 – $6.87 | 2 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | not published | not published | $0.08 – $0.14 | 2 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $1.67 – $7.87 | 3 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $0.01 – $0.01 | 1 |
| Narcosynthesis CPT 90865 | not published | not published | $130.61 – $130.61 | 1 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $307.45 | $559.00 | $68.04 – $3,886.00 | 7 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $12,155.00 | $22,100.00 | $540.00 – $4,510.00 | 5 |
| Nasal function studies CPT 92512 | $358.93 | $652.60 | $29.34 – $29.34 | 1 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $930.59 – $930.59 | 1 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $242.08 – $4,510.00 | 7 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,205.18 – $4,510.00 | 6 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,285.57 – $4,510.00 | 6 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $3,422.10 | $6,222.00 | $167.66 – $3,935.00 | 7 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $280.94 – $4,510.00 | 7 |
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.