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 |
|---|---|---|---|---|
| Nuclear Stress Test (Heart) CPT 78452 | $2,488.20 | $4,524.00 | $401.65 – $2,350.69 | 3 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $84.75 – $449.32 | 3 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $284.02 – $284.02 | 1 |
| Nudt15 gene common variants CPT 81306 | $446.60 | $812.00 | $291.36 – $568.78 | 3 |
| Nursing fac care supervision CPT 99379 | not published | not published | $57.66 – $57.66 | 1 |
| Nursing fac care supervision CPT 99380 | not published | not published | $91.02 – $91.02 | 1 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $107.04 – $107.04 | 1 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $74.05 – $74.05 | 1 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $100.14 – $5,165.02 | 2 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $0.01 – $2,057.53 | 3 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $0.01 – $0.01 | 1 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $38.78 – $146.54 | 3 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,622.07 – $4,510.00 | 6 |
| Observation direct referral from physician office for admission HCPCS G0379 | $406.70 | $739.45 | not published | 0 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $222.98 – $222.98 | 1 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $137.08 – $137.08 | 1 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $172.92 – $172.92 | 1 |
| Observation per hour HCPCS G0378 | $1.45 | $2.64 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,102.23 – $4,510.00 | 5 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $145.91 | 3 |
| Obstetrics panel CPT 80055 | $194.15 | $353.00 | $47.81 – $93.22 | 3 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $20.32 – $24.67 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $379.66 | $690.30 | $59.53 – $196.15 | 3 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $175.89 | $319.80 | $29.78 – $29.78 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $250.00 – $4,510.00 | 7 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $69.34 – $110.21 | 3 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.71 – $1.13 | 2 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $55.52 – $377.65 | 3 |
| Ocular function screen CPT 99172 | not published | not published | $17.65 – $17.65 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $6.02 – $6.02 | 1 |
| Ocular instrumnt screen bil CPT 99177 | $12.04 | $21.90 | $4.97 – $4.97 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $218.84 – $3,868.00 | 6 |
| Ocular reconst transplant CPT 65780 | not published | not published | $899.76 – $6,335.00 | 7 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,353.40 – $6,335.00 | 7 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,167.43 – $6,335.00 | 7 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $61.54 – $102.68 | 2 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $298.23 – $298.23 | 1 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $305.92 – $305.92 | 1 |
| Office emergency care CPT 99058 | not published | not published | $21.97 – $21.97 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $100.15 – $100.15 | 1 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $158.49 – $158.49 | 1 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $197.02 – $197.02 | 1 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $71.86 – $71.86 | 1 |
| Offset knee joint each HCPCS L2390 | not published | not published | $74.96 – $74.96 | 1 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $112.70 – $112.70 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $1.06 – $1.62 | 2 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $3.39 – $5.41 | 3 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $27.68 – $27.68 | 1 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $44.07 – $44.07 | 1 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $13.49 – $13.49 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $21.51 – $82.73 | 3 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,487.98 – $4,510.00 | 6 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $372.37 – $4,510.00 | 6 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $7,560.34 | 3 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $4,900.17 | 3 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $7,560.34 | 3 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $7,560.34 | 3 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $5,034.90 | 3 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $14,040.54 | 3 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $6,082.32 | 3 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $993.01 | 3 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,130.81 | 3 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $346.54 | 3 |
| Oncology lung CPT 81538 | not published | not published | $2,169.53 – $5,604.06 | 3 |
| Oncology prostate prob score CPT 81539 | $836.00 | $1,520.00 | $614.20 – $1,483.43 | 3 |
| Oncology tissue of origin CPT 81504 | $3,997.95 | $7,269.00 | $520.00 – $530.45 | 2 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $2,979.00 – $7,319.86 | 3 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $1,750.93 | 3 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $265.74 | 2 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $125.65 | 3 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $125.65 | 3 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $3,962.56 | 3 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $7,560.34 | 3 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $7,560.34 | 3 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $7,027.36 | 3 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $15,178.78 | 3 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 2 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.10 – $0.17 | 2 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $3.49 – $3.49 | 1 |
| One way chest drain valve HCPCS A7040 | not published | not published | $34.19 – $34.19 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $149.16 – $198.02 | 2 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,219.82 – $4,510.00 | 6 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,409.75 – $4,510.00 | 6 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,513.41 – $4,510.00 | 6 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,910.67 – $4,510.00 | 6 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $454.24 – $4,510.00 | 6 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $804.23 – $5,925.00 | 6 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $245.13 – $4,510.00 | 6 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $874.66 – $6,335.00 | 7 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $770.42 – $5,560.00 | 7 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $706.30 – $5,560.00 | 7 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $294.92 – $4,510.00 | 6 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $663.61 – $11,867.00 | 7 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,446.06 – $4,510.00 | 6 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $757.96 – $4,510.00 | 6 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $588.24 – $6,335.00 | 7 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $748.19 – $8,785.00 | 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.