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 |
|---|---|---|---|---|
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $939.62 – $4,510.00 | 7 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $768.54 – $4,510.00 | 7 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.10 – $0.17 | 2 |
| _propoxygc/msur CPT 80367 | $85.80 | $156.00 | $24.08 – $24.08 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $6.30 – $6.30 | 1 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $54.91 – $54.91 | 1 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $96.57 – $96.57 | 1 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $16.98 – $16.98 | 1 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $6.72 – $6.72 | 1 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $10.71 – $10.71 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $759.55 | $1,381.00 | $291.26 – $454.40 | 3 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $9.06 – $9.06 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $878.79 – $5,560.00 | 7 |
| Prostate laser enucleation CPT 52649 | not published | not published | $854.67 – $11,867.00 | 7 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $628.64 – $9,268.00 | 6 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $645.84 – $4,510.00 | 6 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $79.73 – $79.73 | 1 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $30.60 – $30.60 | 1 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $15.72 – $15.72 | 1 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $667.47 – $667.47 | 1 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $4.87 – $4.87 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $0.94 – $3.24 | 2 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $47.72 – $47.72 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.22 – $51.34 | 3 |
| Protein c activity CPT 85303 | $196.35 | $357.00 | $13.84 – $27.02 | 3 |
| Protein c concentrate HCPCS J2724 | not published | not published | $1.74 – $27.90 | 3 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $123.20 | $224.00 | $10.74 – $20.94 | 3 |
| Protein s total CPT 85305 | $153.45 | $279.00 | $11.61 – $22.97 | 3 |
| Protein total 24 hour urine CPT 84156 | $36.30 | $66.00 | $3.67 – $7.43 | 3 |
| Protein total body fluid CPT 84157 | $20.90 | $38.00 | $4.00 – $8.10 | 3 |
| Protein total serum plasma whole blood CPT 84155 | $50.60 | $92.00 | $3.67 – $7.43 | 3 |
| Protein western blot tissue CPT 88371 | not published | not published | $9.48 – $43.23 | 3 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $3.04 – $3.65 | 2 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $93.50 | $170.00 | $3.94 – $7.43 | 3 |
| Proton treatment complex CPT 77525 | not published | not published | $927.10 – $2,254.23 | 2 |
| Proton trmt intermediate CPT 77523 | not published | not published | $870.74 – $2,037.57 | 2 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $733.86 – $1,754.09 | 2 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $714.61 – $1,749.36 | 2 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $18.91 | 3 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $109.60 – $109.60 | 1 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $462.94 – $4,510.00 | 6 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $611.69 – $11,867.00 | 7 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $80.16 – $80.16 | 1 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $32.67 – $32.67 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $353.42 – $12,977.00 | 6 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $461.30 – $12,977.00 | 6 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $5,082.00 – $13,266.00 | 2 |
| Prq cardiac angio addl art CPT 92921 | $4,928.87 | $8,961.58 | $4,229.00 – $13,266.00 | 2 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $4,229.00 – $13,266.00 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $717.33 – $12,977.00 | 3 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $4,229.00 – $13,266.00 | 2 |
| Prq card stent w/angio addl CPT 92929 | $6,174.58 | $11,226.51 | $4,229.00 – $13,266.00 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $639.73 – $13,266.00 | 4 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $4,229.00 – $13,266.00 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $544.59 – $3,935.00 | 7 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $742.38 – $3,935.00 | 7 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $8,441.29 | $15,347.80 | $770.86 – $3,935.00 | 7 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $463.36 – $3,935.00 | 7 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $327.64 – $3,935.00 | 7 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $10,524.88 | $19,136.15 | $640.09 – $13,266.00 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $716.24 – $13,266.00 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | $9,430.04 | $17,145.53 | $577.04 – $13,266.00 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $684.53 – $13,266.00 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $716.58 – $13,266.00 | 4 |
| Pr removal drug delivery implant CPT 11982 | $491.92 | $894.40 | $104.90 – $3,868.00 | 6 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $289.58 | $526.50 | $59.64 – $3,868.00 | 6 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $70.07 – $3,886.00 | 7 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,160.44 | $2,109.90 | $200.39 – $3,886.00 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $338.20 | $614.90 | $57.46 – $3,868.00 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $423.28 | $769.60 | $64.76 – $3,868.00 | 6 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $348.92 | $634.40 | $46.13 – $3,868.00 | 6 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $475.48 | $864.50 | $61.10 – $3,868.00 | 6 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $740.88 – $3,935.00 | 7 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $42.45 – $42.45 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $643.98 – $3,935.00 | 7 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $613.60 – $4,510.00 | 7 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $112.19 – $5,925.00 | 5 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $692.55 – $5,560.00 | 7 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $682.89 – $5,560.00 | 7 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,121.40 | $3,857.10 | $179.42 – $2,939.00 | 6 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $15.94 – $15.94 | 1 |
| PSA (Prostate) Test CPT 84153 | $89.10 | $162.00 | $18.39 – $35.81 | 3 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.14 – $2.14 | 1 |
| Psychoanalysis CPT 90845 | not published | not published | $92.56 – $92.56 | 1 |
| Psychophysiological therapy CPT 90875 | not published | not published | $62.72 – $62.72 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $100.46 – $100.46 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $25.88 – $25.88 | 1 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $64.56 – $64.56 | 1 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $85.72 – $85.72 | 1 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $129.12 – $129.12 | 1 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $340.34 | $618.80 | $112.79 – $112.79 | 1 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $239.52 | $435.50 | $86.78 – $86.78 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $38.13 – $38.13 | 1 |
| Psy evaluation of records CPT 90885 | not published | not published | $50.76 – $50.76 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $25.59 – $25.59 | 1 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $20.15 – $20.15 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $38.13 – $38.13 | 1 |
| Psytx complex interactive CPT 90785 | not published | not published | $14.58 – $14.58 | 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.