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 |
|---|---|---|---|---|
| Prep donor liver lobe split CPT 47145 | not published | not published | $419.84 – $4,510.00 | 6 |
| Prep donor liver/venous CPT 47146 | not published | not published | $349.32 – $4,510.00 | 6 |
| Prep donor liver whole CPT 47143 | not published | not published | $459.70 – $4,510.00 | 6 |
| Prep donor pancreas CPT 48551 | not published | not published | $131.82 – $4,510.00 | 5 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $250.23 – $4,510.00 | 5 |
| Prep donor renal graft CPT 50325 | not published | not published | $141.38 – $4,510.00 | 6 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $172.67 – $9,268.00 | 4 |
| Pre-plan 3d model w/ccta HCPCS C9793 | $1,791.75 | $3,257.73 | not published | 0 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $200.63 – $4,510.00 | 6 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $193.44 – $4,510.00 | 6 |
| Prep renal graft/venous CPT 50327 | not published | not published | $229.04 – $4,510.00 | 6 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,026.00 – $6,026.00 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $282.57 – $3,935.00 | 7 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $236.22 – $3,935.00 | 7 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $47.91 – $3,886.00 | 5 |
| Pressure max expiratory/inspiratory CPT 94799 | $429.72 | $781.30 | not published | 0 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $231.00 – $4,510.00 | 6 |
| Pressure velocity wire add ves CPT 93572 | $2,408.12 | $4,378.40 | $90.04 – $540.00 | 2 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $307.98 – $307.98 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $33.15 – $149.16 | 3 |
| Pretreat rbc absorption reference CPT 86978 | $116.05 | $211.00 | $33.15 – $68.90 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $85.25 | $155.00 | $38.40 – $149.16 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $178.20 | $324.00 | $27.57 – $57.42 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $166.10 | $302.00 | $21.99 – $291.26 | 3 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $145.74 – $145.74 | 1 |
| Preventive counseling group CPT 99411 | not published | not published | $7.98 – $7.98 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $13.41 – $13.41 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $25.02 – $25.02 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $51.13 – $51.13 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $76.87 – $76.87 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $102.99 – $102.99 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $130.44 – $130.44 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,834.69 | $3,335.80 | $83.20 – $3,886.00 | 7 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,211.50 | $4,020.90 | $166.86 – $3,886.00 | 7 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $844.42 | $1,535.30 | $177.90 – $3,886.00 | 7 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,426.98 – $4,510.00 | 6 |
| Prgrmg dev eval impltbl sys CPT 93260 | $60.21 | $109.47 | $22.07 – $22.07 | 1 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $91.85 | $167.00 | $17.18 – $17.18 | 1 |
| Prgrmg dev eval scrms ip CPT 93285 | $57.75 | $105.00 | $15.78 – $15.78 | 1 |
| Prgrmg eval implantable dfb CPT 93282 | $124.30 | $226.00 | $20.33 – $20.33 | 1 |
| Prgrmg eval implantable dfb CPT 93283 | $115.50 | $210.00 | $23.48 – $23.48 | 1 |
| Prgrmg eval implantable dfb CPT 93284 | $109.45 | $199.00 | $26.63 – $26.63 | 1 |
| Prgr stim/pace a/iv drug CPT 93623 | $11,194.80 | $20,354.18 | $238.36 – $7,786.00 | 3 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $207.72 – $207.72 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $140.31 – $140.31 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $104.12 – $104.12 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $106.58 – $106.58 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $73.94 – $73.94 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $39.89 – $39.89 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $8,115.96 | $14,756.30 | $492.64 – $11,867.00 | 6 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $6,553.69 | $11,915.80 | $179.47 – $1,978.00 | 3 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $50.90 – $50.90 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,055.34 | $1,918.80 | $184.39 – $3,886.00 | 7 |
| Pr incision & drainage abscess simple/single CPT 10060 | $594.16 | $1,080.30 | $98.94 – $3,886.00 | 7 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $809.38 | $1,471.60 | $111.52 – $3,935.00 | 7 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,161.16 | $2,111.20 | $106.02 – $3,886.00 | 7 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $163.40 – $163.40 | 1 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $113.40 – $113.40 | 1 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $260.26 | $473.20 | $12.72 – $12.72 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $610.88 – $3,935.00 | 7 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $2,867.56 | $5,213.75 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $310.72 | $564.94 | $189.81 – $3,886.00 | 7 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $208.59 – $3,935.00 | 7 |
| Probe nasolacrimal duct CPT 68815 | $1,522.27 | $2,767.77 | $260.95 – $3,935.00 | 7 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $253.48 – $6,335.00 | 7 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $8.85 – $546.65 | 3 |
| Procalcitonin CPT 84145 | $144.10 | $262.00 | $27.22 – $53.36 | 3 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $0.33 – $0.33 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $2.93 – $3.36 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.02 – $0.02 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,977.91 – $4,510.00 | 6 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,939.19 – $4,510.00 | 6 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $116.41 – $3,886.00 | 7 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $123.12 – $3,886.00 | 7 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $97.39 – $3,868.00 | 6 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $56.24 – $3,868.00 | 7 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $93.82 – $3,886.00 | 7 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $94.38 – $3,886.00 | 7 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $117.87 – $3,886.00 | 7 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $112.25 – $3,886.00 | 7 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $82.79 – $2,939.00 | 7 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,390.95 | $2,529.00 | $107.52 – $3,886.00 | 7 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $127.99 – $3,886.00 | 7 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $88.40 – $269.88 | 2 |
| Progesterone CPT 84144 | $147.40 | $268.00 | $20.86 – $40.53 | 3 |
| Prolactin CPT 84146 | $82.50 | $150.00 | $19.38 – $37.83 | 3 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $8.74 – $8.74 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $4.91 – $4.91 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $39.63 – $39.63 | 1 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $68.62 | $124.77 | $31.37 – $31.37 | 1 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $30.05 – $30.05 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $112.02 – $112.02 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $53.62 – $53.62 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.09 – $0.09 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $1.86 – $5.48 | 2 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $494.38 – $3,935.00 | 7 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $504.49 – $3,886.00 | 7 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $903.08 – $4,510.00 | 7 |
| Prophylactic tx radius CPT 25490 | not published | not published | $689.56 – $4,510.00 | 7 |
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.