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 |
|---|---|---|---|---|
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $808.43 – $5,560.00 | 7 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $267.56 – $6,335.00 | 7 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $18.93 – $18.93 | 1 |
| Peri-proc device eval icd CPT 93287 | $224.51 | $408.20 | $12.98 – $12.98 | 1 |
| Peri-proc device eval pm CPT 93286 | $203.78 | $370.50 | $11.92 – $11.92 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $465.78 – $4,229.00 | 7 |
| Peritoneogram rs&i CPT 74190 | $1,021.24 | $1,856.80 | $57.81 – $869.20 | 3 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $210.81 – $678.82 | 3 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $20.90 – $20.90 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $11.96 – $11.96 | 1 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,280.41 – $1,280.41 | 1 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.09 – $0.09 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $6,758.18 | $12,287.60 | $820.37 – $9,268.00 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $844.82 – $5,925.00 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $143.96 – $2,939.00 | 6 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $107.06 – $2,939.00 | 6 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,328.49 – $5,486.00 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $904.24 – $5,486.00 | 6 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $21,466.39 | $39,029.80 | $871.69 – $5,925.00 | 6 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $10,733.20 | $19,514.90 | $739.66 – $9,268.00 | 6 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $13,265.45 | $24,119.00 | $765.55 – $5,925.00 | 6 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $13,265.45 | $24,119.00 | $582.49 – $5,925.00 | 6 |
| Perq p-art revsc each addl CPT 33904 | $7,959.41 | $14,471.65 | $292.59 – $4,382.00 | 4 |
| Perq plmt bile duct stent CPT 47538 | $10,476.18 | $19,047.60 | $345.44 – $11,867.00 | 6 |
| Perq plmt bile duct stent CPT 47539 | $9,353.63 | $17,006.60 | $467.11 – $11,867.00 | 6 |
| Perq plmt bile duct stent CPT 47540 | $9,353.63 | $17,006.60 | $557.58 – $11,867.00 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $943.08 | $1,714.70 | $88.65 – $2,939.00 | 6 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $546.92 – $3,886.00 | 7 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $497.14 – $4,510.00 | 6 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Perq transcath closure each CPT 93592 | not published | not published | $462.81 – $5,249.00 | 3 |
| Perq transcath closure pda CPT 93582 | $22,037.34 | $40,067.89 | $710.62 – $4,975.00 | 3 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $1,049.90 – $6,823.00 | 3 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $1,265.07 – $6,823.00 | 3 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $792.20 – $3,664.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | $11,194.11 | $20,352.92 | $583.74 – $5,925.00 | 6 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $245.22 – $3,935.00 | 7 |
| Perq tx malar fracture CPT 21355 | not published | not published | $370.20 – $4,510.00 | 7 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $348.05 – $3,935.00 | 7 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $824.48 – $5,560.00 | 7 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $23.65 | 3 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $4.38 – $31.57 | 3 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $4.45 – $115.19 | 3 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $43.01 – $43.01 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | $56.17 | $102.12 | $17.28 – $17.28 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,919.75 | $8,945.00 | $1,252.55 – $2,664.61 | 2 |
| Pet CT whole body initial CPT 78816 | $5,036.35 | $9,157.00 | $1,252.55 – $2,664.61 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,252.55 – $2,664.61 | 2 |
| Pet image full body CPT 78813 | not published | not published | $1,252.55 – $2,664.61 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $1,252.55 – $2,350.69 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,252.55 – $2,664.61 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,252.55 – $2,664.61 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $678.82 – $678.82 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,248.40 – $1,248.40 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $3,778.20 | $6,869.45 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $26.10 – $26.10 | 1 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $39.52 – $39.52 | 1 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $13.41 – $13.41 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $291.64 – $4,510.00 | 7 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $25.48 – $25.48 | 1 |
| Ph body fluid CPT 83986 | $33.00 | $60.00 | $3.58 – $6.75 | 3 |
| Phencyclidine (pcp) CPT 83992 | $164.45 | $299.00 | $20.40 – $72.96 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $3.37 – $55.96 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $71.50 | $130.00 | $15.30 – $29.73 | 3 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $101.90 – $801.40 | 3 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.01 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $119.28 – $119.28 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.77 – $0.84 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $130.90 | $238.00 | $13.25 – $25.67 | 3 |
| Phlebotomy therapeutic CPT 99195 | $295.30 | $536.90 | $99.23 – $99.23 | 1 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $478.61 – $4,510.00 | 6 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $585.04 – $4,510.00 | 6 |
| Phosphorus CPT 84100 | $36.30 | $66.00 | $4.74 – $9.46 | 3 |
| Phosphorus 24 hour urine CPT 84105 | $40.70 | $74.00 | $5.78 – $11.49 | 3 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $70.39 – $70.39 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $90.34 – $90.34 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $127.12 – $127.12 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $27.27 – $540.00 | 2 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $59.36 – $540.00 | 2 |
| Photo patch test CPT 95052 | not published | not published | $6.68 – $6.68 | 1 |
| Photopheresis CPT 36522 | $5,871.58 | $10,675.60 | $104.93 – $4,510.00 | 6 |
| Photosensitivity tests CPT 95056 | not published | not published | $43.78 – $43.78 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.76 – $64.78 | 3 |
| Phys blood bank serv reactj CPT 86078 | $117.70 | $214.00 | $52.79 – $149.16 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $64.78 | 3 |
| Physician standby services CPT 99360 | not published | not published | $62.72 – $62.72 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $120.54 – $120.54 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $0.01 – $5.06 | 2 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $31.87 – $4,510.00 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $548.53 – $591.91 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $536.35 | 3 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $414.35 – $4,510.00 | 6 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $539.72 – $539.72 | 1 |
| Pin caspar distraction 12mm HCPCS C1821 | $4,914.77 | $8,935.94 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $460.15 – $3,935.00 | 7 |
| Pin finger dislocation CPT 26776 | not published | not published | $453.17 – $3,935.00 | 7 |
| Pin finger fracture each CPT 26756 | not published | not published | $425.93 – $3,935.00 | 7 |
| Pin hand dislocation CPT 26676 | not published | not published | $512.86 – $3,935.00 | 7 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $446.34 – $3,935.00 | 7 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $48.49 – $48.49 | 1 |
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.