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 |
|---|---|---|---|---|
| Part removal of metatarsal CPT 28113 | not published | not published | $442.22 – $4,510.00 | 7 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $325.02 – $4,510.00 | 7 |
| Part remove hip bone super CPT 27070 | not published | not published | $879.52 – $4,510.00 | 6 |
| Passy muir valve metal trach HCPCS L8501 | $112.93 | $205.32 | $88.13 – $88.13 | 1 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $4.87 – $4.87 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $91.41 – $152.32 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $48.51 – $152.32 | 3 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $56.24 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $22.70 – $50.75 | 3 |
| Patient recorded spirometry CPT 94014 | not published | not published | $56.25 – $56.25 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $30.13 – $30.13 | 1 |
| Patten bottom HCPCS L2370 | not published | not published | $234.37 – $234.37 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $497.85 | 3 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $380.84 – $608.24 | 3 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $643.09 | 3 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $16.68 – $16.68 | 1 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $189.94 – $540.00 | 2 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $792.44 – $4,510.00 | 7 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $589.52 – $589.52 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $355.11 – $355.11 | 1 |
| Ped crit care transport CPT 99466 | not published | not published | $252.05 – $252.05 | 1 |
| Ped crit care transport addl CPT 99467 | not published | not published | $126.56 – $126.56 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $891.33 – $891.33 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $417.59 – $417.59 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $47.18 – $47.18 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $223.33 – $223.33 | 1 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $4,028.46 – $4,028.46 | 1 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,179.09 – $1,179.09 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $691.31 – $4,510.00 | 7 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $966.16 – $966.16 | 1 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,140.66 – $1,140.66 | 1 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $903.82 – $903.82 | 1 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $490.89 – $490.89 | 1 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $0.01 – $0.01 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $0.01 – $0.01 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $14.24 – $52,726.63 | 3 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $0.01 – $165.73 | 3 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $24.55 – $243.30 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $0.34 – $223.66 | 3 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $50.07 – $492.21 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $33.91 – $206.75 | 3 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $51.27 – $302.81 | 3 |
| Peginesatide injection HCPCS J0890 | not published | not published | $0.01 – $0.01 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $0.01 – $0.01 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $68.64 – $6,790.85 | 3 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $267.47 – $374.20 | 3 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $356.65 – $356.65 | 1 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $309.29 – $309.29 | 1 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $230.10 – $230.10 | 1 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $169.56 – $169.56 | 1 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $231.16 – $231.16 | 1 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $317.79 – $317.79 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,030.60 | $3,692.00 | $194.66 – $321.39 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,289.75 | $2,345.00 | $163.50 – $321.39 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $858.00 | $1,560.00 | $89.29 – $196.15 | 2 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,016.02 – $1,016.02 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,080.00 | $5,600.00 | $383.37 – $662.62 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $316.85 – $662.62 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $1,575.14 | $2,863.90 | $279.05 – $414.23 | 2 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,113.12 – $4,510.00 | 6 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,005.42 – $4,510.00 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $577.50 | $1,050.00 | $74.59 – $196.15 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $387.20 | $704.00 | $22.43 – $196.15 | 3 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $101.43 – $101.43 | 1 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $68.02 – $111.84 | 3 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.33 – $8.70 | 3 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $1,136.25 – $1,136.25 | 1 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $20.18 – $36.22 | 3 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $20.41 – $55.67 | 3 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.02 – $1.47 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $46.87 – $77.86 | 2 |
| Penile injection CPT 54235 | not published | not published | $76.54 – $3,868.00 | 6 |
| Penile vascular study CPT 93980 | not published | not published | $58.14 – $114.78 | 2 |
| Penile vascular study CPT 93981 | $1,380.66 | $2,510.30 | $50.09 – $98.56 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $505.36 – $4,510.00 | 7 |
| Penis plastic surgery CPT 54360 | not published | not published | $748.70 – $4,510.00 | 7 |
| Penis study CPT 54240 | not published | not published | $34.68 – $3,868.00 | 6 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $1.30 – $129.35 | 2 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.01 – $0.01 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.01 – $0.01 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $0.01 – $0.01 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $0.13 – $4,838.13 | 3 |
| Perc cryo ablate renal tum CPT 50593 | $9,109.10 | $16,562.00 | $506.81 – $11,867.00 | 6 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $540.00 – $3,868.00 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $2,009.00 – $5,082.00 | 5 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $540.00 – $3,868.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $2,009.00 – $5,082.00 | 5 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $540.00 – $3,868.00 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $2,009.00 – $5,082.00 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $540.00 – $3,868.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $2,009.00 – $5,082.00 | 5 |
| Perc rf ablate renal tumor CPT 50592 | $7,248.67 | $13,179.40 | $383.01 – $4,229.00 | 6 |
| Percut ablate liver rf CPT 47382 | $5,535.53 | $10,064.60 | $815.60 – $4,510.00 | 6 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $385.74 – $4,510.00 | 5 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $47.85 – $75.41 | 2 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $2,846.45 | $5,175.37 | $148.66 – $5,249.00 | 6 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,002.16 | $5,458.48 | $82.18 – $8,785.00 | 6 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $930.03 – $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.