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 |
|---|---|---|---|---|
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,432.16 – $4,510.00 | 6 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $636.03 – $11,867.00 | 6 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $762.74 – $11,867.00 | 6 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,037.88 – $11,867.00 | 6 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $563.41 – $4,510.00 | 6 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $848.86 – $5,925.00 | 6 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $848.84 – $5,925.00 | 6 |
| Ophthalmic biometry CPT 92136 | not published | not published | $58.14 – $58.14 | 1 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $92.74 – $1,486.00 | 3 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $438.60 – $438.60 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $11.21 – $11.21 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | $567.00 | $1,030.90 | $61.42 – $201.51 | 3 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $472.62 | $859.30 | $59.19 – $196.15 | 3 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $368.94 | $670.80 | $43.18 – $196.15 | 3 |
| Opioids & opiate analogs 3/4 CPT 80363 | $14.30 | $26.00 | $20.78 – $20.78 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,265.09 – $4,510.00 | 6 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $321.76 – $9,268.00 | 4 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $1,959.01 – $4,510.00 | 6 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $1,639.80 – $4,510.00 | 6 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $1,281.75 – $4,510.00 | 6 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $287.91 – $9,268.00 | 4 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $659.93 – $4,510.00 | 6 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $698.12 – $7,312.00 | 6 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $312.93 – $5,082.00 | 7 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $331.74 – $5,082.00 | 7 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $691.44 – $5,082.00 | 7 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $886.86 – $9,268.00 | 6 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,155.37 – $8,785.00 | 6 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,207.57 – $4,510.00 | 6 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,252.93 – $4,510.00 | 6 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $391.16 – $4,510.00 | 7 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,173.57 – $4,510.00 | 6 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $933.33 – $4,510.00 | 6 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,252.21 – $4,510.00 | 6 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $737.07 – $4,510.00 | 6 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $720.04 – $4,510.00 | 6 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $705.83 – $11,867.00 | 6 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $931.14 – $6,335.00 | 6 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $665.92 – $6,335.00 | 6 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $590.95 – $5,560.00 | 6 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $819.42 – $8,785.00 | 6 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,045.09 – $4,510.00 | 6 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $0.01 – $0.01 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $15.27 – $15.27 | 1 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $23.64 – $23.64 | 1 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $48.54 – $62.98 | 3 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $19.09 – $19.09 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $4,774.77 | $8,681.40 | $675.63 – $5,560.00 | 7 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $586.52 – $4,510.00 | 7 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $599.72 – $4,510.00 | 7 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $743.80 – $4,510.00 | 7 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $745.92 – $4,510.00 | 7 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,258.02 – $6,335.00 | 6 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,807.12 – $4,510.00 | 6 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $663.75 – $4,510.00 | 6 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,313.16 – $4,510.00 | 6 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $589.96 – $4,510.00 | 7 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $809.77 – $6,335.00 | 7 |
| Optx lunate dislocation CPT 25695 | not published | not published | $656.77 – $3,935.00 | 7 |
| Optx medial ankle fx CPT 27766 | not published | not published | $634.26 – $4,510.00 | 7 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $971.03 – $5,560.00 | 7 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $969.28 – $5,560.00 | 7 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $595.70 – $6,335.00 | 7 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $649.78 – $5,560.00 | 7 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $698.49 – $4,510.00 | 6 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $820.38 – $4,510.00 | 6 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,134.09 – $6,335.00 | 7 |
| Optx post ankle fx CPT 27769 | not published | not published | $754.15 – $11,867.00 | 6 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $917.83 – $5,560.00 | 7 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,293.26 – $5,560.00 | 7 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $692.87 – $4,510.00 | 7 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $651.03 – $3,935.00 | 7 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $624.23 – $4,510.00 | 7 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $812.48 – $5,560.00 | 7 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $993.57 – $6,335.00 | 7 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $932.52 – $4,510.00 | 7 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $697.11 – $4,510.00 | 7 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,018.91 – $4,510.00 | 7 |
| Optx sho dislc fx CPT 23670 | not published | not published | $911.58 – $4,510.00 | 7 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $966.01 – $4,510.00 | 7 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $647.00 – $5,560.00 | 7 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $593.65 – $4,510.00 | 7 |
| Optx thigh fx CPT 27269 | not published | not published | $1,299.48 – $4,510.00 | 6 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $958.45 – $4,510.00 | 7 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $764.56 – $4,510.00 | 7 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $643.34 – $4,510.00 | 7 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $644.01 – $4,510.00 | 7 |
| Oral aprepitant HCPCS J8501 | not published | not published | $3.16 – $5.05 | 2 |
| Oral busulfan HCPCS J8510 | not published | not published | $3.20 – $138.95 | 2 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.31 – $2.54 | 2 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $23.65 | 3 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $0.24 – $34.25 | 3 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $19.50 – $42.07 | 3 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $0.01 – $784.47 | 3 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,009.00 – $4,510.00 | 6 |
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.