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 |
|---|---|---|---|---|
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $7.91 – $7.91 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $1,406.48 – $4,510.00 | 7 |
| Positional nystagmus test CPT 92532 | not published | not published | $17.28 – $17.28 | 1 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $61.92 – $61.92 | 1 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $89.81 – $89.81 | 1 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $133.62 – $133.62 | 1 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $13.73 – $48.64 | 3 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $61.67 – $61.67 | 1 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $813.47 – $7,415.00 | 3 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $345.13 – $345.13 | 1 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $359.06 – $359.06 | 1 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $470.97 – $470.97 | 1 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $987.46 – $987.46 | 1 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,330.36 – $1,330.36 | 1 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $435.76 – $435.76 | 1 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $367.04 – $367.04 | 1 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,097.41 – $1,097.41 | 1 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $933.89 – $933.89 | 1 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $333.06 – $333.06 | 1 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,312.69 – $1,312.69 | 1 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $814.47 – $814.47 | 1 |
| Postpartum Care Only CPT 59430 | not published | not published | $148.14 – $4,510.00 | 5 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $815.63 – $7,415.00 | 3 |
| Potassium 24 hour urine CPT 84133 | $34.10 | $62.00 | $4.73 – $9.46 | 3 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.20 – $0.21 | 2 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $11.49 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $33.00 | $60.00 | $4.76 – $9.46 | 3 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $1.75 – $1.75 | 1 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.00 – $3.00 | 1 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $4.67 – $4.67 | 1 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $3.71 – $3.71 | 1 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $1.88 – $1.88 | 1 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.05 – $3.05 | 1 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $3.06 – $3.06 | 1 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $267.51 | 3 |
| Pq biliary strict dil s&i CPT 74363 | $991.56 | $1,802.83 | $116.04 – $116.04 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $543.78 | $988.69 | $69.68 – $69.68 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $528.92 – $9,268.00 | 6 |
| Pq thr inj ext pse CPT 36002 | $1,000.03 | $1,818.24 | $113.22 – $3,868.00 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $222.42 – $11,867.00 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $475.42 – $11,867.00 | 6 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $446.34 – $11,867.00 | 6 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $19.85 – $728.33 | 3 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $1.76 – $1.76 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $4,129.12 | $7,507.50 | $656.35 – $3,935.00 | 7 |
| Pr application of long arm splint CPT 29105 | $445.44 | $809.90 | $62.00 – $3,868.00 | 6 |
| Pr application splint static short arm CPT 29125 | $282.42 | $513.50 | $40.18 – $3,868.00 | 6 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $42.90 | $78.00 | $5.27 – $5.27 | 1 |
| Pr biopsy skin punch single lesion CPT 11104 | $978.12 | $1,778.40 | $75.63 – $2,109.00 | 6 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $604.74 – $4,510.00 | 7 |
| Pr correction hammertoe CPT 28285 | not published | not published | $390.47 – $4,510.00 | 7 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $39.49 | $71.80 | $12.70 – $12.70 | 1 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $3,123.28 | $5,678.69 | $83.24 – $5,249.00 | 6 |
| Prcrd drg 6+yr without anomly CPT 33017 | $3,384.88 | $6,154.32 | $166.54 – $5,249.00 | 6 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $162.30 – $3,935.00 | 7 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $452.60 | $822.90 | $24.75 – $1,486.00 | 3 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $74.46 – $74.46 | 1 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $109.51 – $109.51 | 1 |
| Prealbumin CPT 84134 | $58.30 | $106.00 | $14.59 – $28.38 | 3 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $8.71 – $8.71 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $27.51 – $27.51 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.27 – $0.43 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.01 | 2 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $165.43 – $165.43 | 1 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $128.19 – $128.19 | 1 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $105.38 – $105.38 | 1 |
| Pregabalin - sendout CPT 80366 | $178.20 | $324.00 | $24.08 – $24.08 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $221.44 – $3,935.00 | 7 |
| Pregnancy associated plasma protein-a CPT 84163 | $80.30 | $146.00 | $9.70 – $29.05 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $530.75 | $965.00 | $90.34 – $196.15 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $749.32 | $1,362.40 | $72.14 – $196.15 | 3 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $34.31 | $62.39 | $105.53 – $105.53 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $378.55 – $4,510.00 | 5 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $667.12 – $4,510.00 | 5 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,752.20 – $1,752.20 | 1 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $2,049.28 – $2,049.28 | 1 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,584.12 – $1,584.12 | 1 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $1,902.03 – $1,902.03 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $39.37 – $540.00 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $117.43 – $3,868.00 | 6 |
| Prepare donor heart CPT 33944 | not published | not published | $285.07 – $4,510.00 | 6 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $285.07 – $4,510.00 | 6 |
| Prepare donor intestine CPT 44715 | not published | not published | $362.85 – $4,510.00 | 6 |
| Prepare donor lung double CPT 32856 | not published | not published | $285.07 – $4,510.00 | 6 |
| Prepare donor lung single CPT 32855 | not published | not published | $237.55 – $4,510.00 | 6 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.76 – $65.98 | 2 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $79.25 – $4,510.00 | 5 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,879.64 – $4,510.00 | 6 |
| Prepare penis study CPT 54230 | not published | not published | $83.11 – $1,486.00 | 3 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $195.08 – $3,868.00 | 4 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,646.98 – $1,646.98 | 1 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,485.23 – $1,485.23 | 1 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,260.56 – $1,260.56 | 1 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,341.98 – $1,341.98 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $141.38 – $4,510.00 | 6 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $65.78 – $2,109.00 | 3 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $406.85 – $4,510.00 | 6 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $291.02 – $4,510.00 | 6 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $553.66 – $4,510.00 | 6 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $404.97 – $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.