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 |
|---|---|---|---|---|
| Orchiectomy partial CPT 54522 | not published | not published | $612.14 – $4,510.00 | 7 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $738.08 – $4,510.00 | 6 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $496.61 – $5,560.00 | 7 |
| Organic acids total quant ea spec CPT 83918 | $349.80 | $636.00 | $22.84 – $45.93 | 3 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $0.11 – $78.80 | 3 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $33.13 – $53.20 | 3 |
| Oropharyngeal biopsy 42800 CPT 42800 | $2,227.94 | $4,050.80 | $117.06 – $4,510.00 | 7 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $1.07 – $20.75 | 2 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $25.16 – $25.16 | 1 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $191.51 – $191.51 | 1 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $331.67 – $331.67 | 1 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $850.38 – $850.38 | 1 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $470.82 – $470.82 | 1 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $179.62 – $179.62 | 1 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $213.02 – $213.02 | 1 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $70.04 – $70.04 | 1 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $179.62 – $179.62 | 1 |
| Orthopantogram CPT 70355 | $303.46 | $551.75 | $8.77 – $145.62 | 3 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $21.30 – $21.30 | 1 |
| Orthop traing pfrmd phys/qhp CPT 92065 | $97.76 | $177.74 | $35.03 – $35.03 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $25.66 – $25.66 | 1 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $37.07 – $37.07 | 1 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $23.18 – $23.18 | 1 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $21.30 – $21.30 | 1 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $30.56 – $30.56 | 1 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $94.96 – $94.96 | 1 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $294.96 – $294.96 | 1 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $113.48 – $212.46 | 3 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $227.88 – $227.88 | 1 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $657.68 – $657.68 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $141.57 | $257.40 | $35.06 – $35.06 | 1 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $23.18 – $23.18 | 1 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $16.68 – $16.68 | 1 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $62.10 – $62.10 | 1 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $47.27 – $47.27 | 1 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $6.51 – $6.51 | 1 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $38.93 – $38.93 | 1 |
| Osmolality blood CPT 83930 | $26.40 | $48.00 | $6.61 – $12.83 | 3 |
| Osmolality urine CPT 83935 | $27.50 | $50.00 | $6.82 – $13.51 | 3 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $339.76 – $4,510.00 | 7 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $592.18 – $5,560.00 | 7 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $998.59 – $7,415.00 | 4 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,435.59 – $4,510.00 | 6 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,021.63 – $11,867.00 | 6 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,277.95 – $11,867.00 | 6 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $48.60 – $48.60 | 1 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $61.29 – $61.29 | 1 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $73.62 – $73.62 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,032.24 – $4,510.00 | 7 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,679.73 – $4,510.00 | 6 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $384.79 – $1,486.00 | 3 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,659.12 – $4,510.00 | 6 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,634.91 – $4,510.00 | 6 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $848.94 – $5,560.00 | 7 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,152.83 – $4,510.00 | 6 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $677.21 – $4,510.00 | 7 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.01 – $2.01 | 1 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $38.49 – $38.49 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $2.32 – $2.32 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.05 – $3.05 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $4.04 – $4.04 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.48 – $1.48 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $7.68 – $7.68 | 1 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $7.23 – $7.23 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $262.35 | $477.00 | $79.62 – $79.62 | 1 |
| Ot evaluation low complexity patient/family CPT 97165 | $235.95 | $429.00 | $79.62 – $79.62 | 1 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $254.10 | $462.00 | $79.62 – $79.62 | 1 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $45.26 | 3 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $12.98 – $12.98 | 1 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $10.53 – $10.53 | 1 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $174.08 | $316.51 | $49.04 – $49.04 | 1 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $117.90 | $214.37 | $38.25 – $38.25 | 1 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $78.65 | $143.00 | $30.14 – $30.14 | 1 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $45.97 | $83.58 | $9.77 – $9.77 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $492.09 – $4,510.00 | 7 |
| Ot re-evaluation patient/family CPT 97168 | $146.30 | $266.00 | $52.51 – $52.51 | 1 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $86.90 | $158.00 | $35.06 – $35.06 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $148.42 | $269.85 | $23.73 – $23.73 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $148.42 | $269.85 | $24.47 – $24.47 | 1 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $81.95 | $149.00 | $32.65 – $32.65 | 1 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $97.35 | $177.00 | $33.67 – $33.67 | 1 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $83.60 | $152.00 | $35.07 – $35.07 | 1 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,660.27 – $4,510.00 | 6 |
| Out of office emerg med serv CPT 99060 | not published | not published | $24.49 – $24.49 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $37.90 – $37.90 | 1 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $105.40 – $105.40 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $771.97 – $4,510.00 | 6 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $0.01 – $0.01 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $24.99 | 3 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.95 – $1.46 | 2 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.10 – $0.15 | 2 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $0.01 – $0.01 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $1.43 – $1.43 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $0.01 – $0.01 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $295.55 – $310.97 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $267.51 | 3 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.60 – $1.60 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.13 – $0.25 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $0.11 – $22.34 | 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.