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 |
|---|---|---|---|---|
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $1.42 – $319.87 | 3 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $87.43 – $3,868.00 | 6 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $48.00 – $2,939.00 | 6 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $83.19 – $3,868.00 | 6 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $89.15 – $3,868.00 | 6 |
| Njx cath slct p angrph mapca CPT 93575 | $3,023.62 | $5,497.49 | $93.25 – $540.00 | 2 |
| Njx cath slct p-art angrp bi CPT 93573 | $6,490.16 | $11,800.29 | $63.18 – $540.00 | 2 |
| Njx cath slct pulm vn angrph CPT 93574 | $3,023.62 | $5,497.49 | $69.69 – $540.00 | 2 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $605.02 – $3,868.00 | 6 |
| Njx cth slct p-art angrp uni CPT 93569 | $3,245.08 | $5,900.15 | $37.92 – $540.00 | 2 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $97.59 – $3,935.00 | 6 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $112.21 – $3,935.00 | 6 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $95.57 – $3,935.00 | 6 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $101.79 – $3,935.00 | 6 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,603.74 | $2,915.90 | $174.71 – $4,510.00 | 6 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $551.18 – $5,560.00 | 7 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $1,233.19 – $4,510.00 | 6 |
| Nl removal calculus CPT 50060 | $11,367.78 | $20,668.70 | $1,185.94 – $4,510.00 | 6 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $1,517.07 – $4,510.00 | 6 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $1,258.27 – $4,510.00 | 6 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,732.50 | $3,150.00 | $302.91 – $678.82 | 3 |
| Nm imaging bone/joint whole body CPT 78306 | $1,540.00 | $2,800.00 | $213.97 – $678.82 | 3 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $995.50 | $1,810.00 | $185.96 – $678.82 | 3 |
| Nm imaging gastric emptying study CPT 78264 | $1,365.10 | $2,482.00 | $254.92 – $678.82 | 3 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,092.30 | $1,986.00 | $306.06 – $678.82 | 3 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,262.25 | $2,295.00 | $363.47 – $880.92 | 3 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,485.00 | $2,700.00 | $117.00 – $880.92 | 3 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,472.35 | $2,677.00 | $287.83 – $880.92 | 3 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,210.55 | $2,201.00 | $220.62 – $678.82 | 3 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $48.33 – $449.32 | 3 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $1,900.15 – $1,900.15 | 1 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $2,224.43 – $2,224.43 | 1 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $2,009.00 – $7,312.00 | 5 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $159.00 – $678.82 | 3 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $46.34 – $46.34 | 1 |
| Non-imaging heart function CPT 78414 | not published | not published | $98.88 – $880.92 | 3 |
| Noninv pace analysis CPT 93724 | not published | not published | $28.03 – $3,868.00 | 2 |
| Non-molded lacer HCPCS L2320 | not published | not published | $150.63 – $150.63 | 1 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $662.62 – $662.62 | 1 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.04 – $0.04 | 1 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $614.20 – $4,184.13 | 3 |
| No pt prsnt train add 15 HCPCS G0542 | not published | not published | $25.69 – $25.69 | 1 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $52.20 – $52.20 | 1 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $834.01 – $1,231.03 | 2 |
| Npm1 gene CPT 81310 | $553.30 | $1,006.00 | $246.52 – $480.96 | 3 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $246.39 – $11,867.00 | 5 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $177.02 – $11,867.00 | 5 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | not published | not published | $23.81 – $23.81 | 1 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | not published | not published | $4.04 – $4.04 | 1 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | not published | not published | $21.62 – $21.62 | 1 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $111.36 – $111.36 | 1 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $85.71 – $85.71 | 1 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $20.81 – $20.81 | 1 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $33.12 – $33.12 | 1 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $11.65 – $11.65 | 1 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $295.79 – $577.57 | 3 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $1,321.66 – $2,028.65 | 2 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,180.14 – $3,935.00 | 7 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,098.97 – $3,935.00 | 7 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,136.46 – $3,935.00 | 7 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,210.92 – $3,935.00 | 7 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,318.45 – $4,510.00 | 7 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,432.00 – $4,510.00 | 7 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,404.88 – $4,510.00 | 7 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,704.61 – $4,510.00 | 7 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $812.66 – $5,050.00 | 6 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $165.99 – $5,050.00 | 4 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $1,125.16 – $4,510.00 | 6 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $1,036.51 – $4,510.00 | 6 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $494.88 – $11,867.00 | 6 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $207.95 – $11,867.00 | 7 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $267.13 – $11,867.00 | 6 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $174.21 – $11,867.00 | 7 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $1,288.77 – $4,510.00 | 6 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $170.21 – $11,867.00 | 7 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $524.46 – $11,867.00 | 6 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $466.77 – $11,867.00 | 6 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $632.14 – $5,560.00 | 7 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $153.36 – $4,510.00 | 6 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $153.36 – $4,510.00 | 6 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $468.09 – $4,510.00 | 6 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $161.78 – $540.00 | 2 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $404.63 | 3 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $404.63 | 3 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $404.63 | 3 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $1,011.92 | 3 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | not published | not published | $36.76 – $36.76 | 1 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | not published | not published | $55.32 – $55.32 | 1 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | not published | not published | $73.88 – $73.88 | 1 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | not published | not published | $37.90 – $37.90 | 1 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | not published | not published | $18.56 – $18.56 | 1 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | not published | not published | $37.90 – $37.90 | 1 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,868.90 | $3,398.00 | $338.66 – $1,069.81 | 2 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,616.45 | $2,939.00 | $337.54 – $1,069.81 | 2 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $153.38 – $678.82 | 3 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $42.56 | 3 |
| Nuclear rx intra-arterial CPT 79445 | $303.05 | $551.00 | $59.81 – $449.32 | 3 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $39.58 – $449.32 | 3 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $51.16 – $449.32 | 3 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $47.28 – $449.32 | 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.