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 |
|---|---|---|---|---|
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $66.32 – $66.32 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $84.53 – $84.53 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $111.50 – $111.50 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $92.24 | $167.71 | $19.34 – $19.34 | 1 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.08 – $6.08 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $32.66 – $32.66 | 1 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $79.76 | $145.01 | $12.98 – $12.98 | 1 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $16.19 – $16.19 | 1 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $53.95 – $53.95 | 1 |
| Pten gene dup/delet variant CPT 81323 | $1,343.10 | $2,442.00 | $89.14 – $585.67 | 3 |
| Pten gene full sequence CPT 81321 | $1,506.45 | $2,739.00 | $600.00 – $1,171.34 | 3 |
| Pten gene known fam variant CPT 81322 | $453.75 | $825.00 | $46.60 – $91.19 | 3 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $787.45 – $4,510.00 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | $254.65 | $463.00 | $82.07 – $82.07 | 1 |
| Pt evaluation low complexity patient/family CPT 97161 | $248.60 | $452.00 | $82.07 – $82.07 | 1 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $264.00 | $480.00 | $82.07 – $82.07 | 1 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $4.55 – $4.55 | 1 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $26.11 – $26.11 | 1 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,049.30 – $1,049.30 | 1 |
| Pt re-evaluation patient/family CPT 97164 | $184.25 | $335.00 | $55.70 – $55.70 | 1 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $38.07 – $38.07 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $13.98 – $13.98 | 1 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $91.30 | $166.00 | $28.70 – $28.70 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $108.88 | $197.97 | $26.88 – $26.88 | 1 |
| Pt wheelchair management each 15 minutes CPT 97542 | $80.45 | $146.27 | $30.87 – $30.87 | 1 |
| Pul art balloon repr percut CPT 92997 | $15,192.84 | $27,623.35 | $700.12 – $13,266.00 | 4 |
| Pul art balloon repr percut CPT 92998 | $8,795.42 | $15,991.67 | $342.84 – $4,229.00 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,500.00 – $10,735.93 | 3 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,046.29 – $4,510.00 | 6 |
| Pulmonary vent imaging CPT 78579 | $893.20 | $1,624.00 | $164.23 – $678.82 | 3 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $24.18 – $24.18 | 1 |
| Pulse ox multiple CPT 94761 | $223.08 | $405.60 | $4.93 – $4.93 | 1 |
| Pulse ox single CPT 94760 | $114.40 | $208.00 | $3.17 – $3.17 | 1 |
| Punc of shunt for asp or inj CPT 61070 | $1,646.64 | $2,993.90 | $60.37 – $3,886.00 | 7 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $153.01 | $278.20 | $15.98 – $2,623.00 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,096.10 | $1,992.90 | $98.39 – $3,868.00 | 6 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $53.18 – $3,886.00 | 7 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,008.44 | $3,651.70 | $82.26 – $3,886.00 | 7 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $118.31 – $181.68 | 2 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $131.14 – $175.28 | 2 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $56.83 – $2,109.00 | 4 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $87.39 – $2,109.00 | 6 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $90.14 – $2,109.00 | 6 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $501.00 – $501.00 | 1 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $11,867.99 – $11,867.99 | 1 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,022.03 – $4,510.00 | 6 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $987.23 – $4,510.00 | 6 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,074.72 – $4,510.00 | 6 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $975.98 – $4,510.00 | 6 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $2.10 – $11.22 | 2 |
| Pyruvate CPT 84210 | $51.15 | $93.00 | $14.48 – $28.38 | 3 |
| Pyruvate kinase CPT 84220 | $55.00 | $100.00 | $9.44 – $18.24 | 3 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $205.07 – $205.07 | 1 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $5.66 – $5.66 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,539.35 | $4,617.00 | $269.98 – $880.92 | 3 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,210.55 | $2,201.00 | $169.48 – $678.82 | 3 |
| Quest t3 uptake CPT 84479 | $84.70 | $154.00 | $6.47 – $12.83 | 3 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $429.08 – $429.08 | 1 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $0.01 – $7.03 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $461.62 – $573.08 | 2 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $275.39 – $413.36 | 3 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $309.47 – $519.13 | 3 |
| Rabies vaccine id CPT 90676 | not published | not published | $436.38 – $436.38 | 1 |
| Radial keratotomy CPT 65771 | not published | not published | $412.00 – $4,406.00 | 6 |
| Radiation handling CPT 77790 | not published | not published | $96.76 – $96.76 | 1 |
| Radiation physics consult CPT 77336 | $548.90 | $998.00 | $75.31 – $250.19 | 2 |
| Radiation therapy dose plan CPT 77300 | $693.00 | $1,260.00 | $30.48 – $64.79 | 2 |
| Radiation therapy management CPT 77431 | not published | not published | $103.46 – $103.46 | 1 |
| Radiation treatment aid(s) CPT 77332 | $212.85 | $387.00 | $28.98 – $53.24 | 2 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $9.13 – $199.21 | 2 |
| Radiation treatment aid(s) CPT 77334 | $1,069.20 | $1,944.00 | $86.49 – $126.94 | 2 |
| Radiation treatment delivery CPT 77401 | not published | not published | $20.33 – $82.35 | 2 |
| Radiation treatment delivery CPT 77402 | $389.95 | $709.00 | $141.39 – $236.19 | 2 |
| Radiation treatment delivery CPT 77412 | $859.65 | $1,563.00 | $272.97 – $476.62 | 2 |
| Radiation tx management x5 CPT 77427 | not published | not published | $188.98 – $188.98 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,918.71 – $4,510.00 | 6 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,585.42 – $4,510.00 | 6 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,864.78 – $4,510.00 | 6 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,215.66 – $4,510.00 | 6 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,253.19 – $4,510.00 | 6 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,099.14 – $8,785.00 | 6 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,492.42 – $11,867.00 | 6 |
| Radiesse injection HCPCS Q2026 | not published | not published | $550.14 – $550.14 | 1 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $3,868.87 – $3,868.87 | 1 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $620.21 – $620.21 | 1 |
| Radiology port images(s) CPT 77417 | $295.35 | $537.00 | $10.53 – $10.53 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,496.13 – $2,810.30 | 2 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $167.38 – $278.37 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,377.65 | $4,323.00 | $287.85 – $2,350.69 | 3 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,377.65 | $4,323.00 | $527.70 – $2,350.69 | 3 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,867.15 | $5,213.00 | $636.48 – $2,350.69 | 3 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,377.65 | $4,323.00 | $294.50 – $2,350.69 | 3 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $160.38 – $678.82 | 3 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $82.32 – $82.32 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,628.01 – $4,510.00 | 6 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,188.81 – $4,510.00 | 7 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,382.78 – $11,867.00 | 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.