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 |
|---|---|---|---|---|
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,076.39 – $4,510.00 | 7 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $760.70 – $4,510.00 | 7 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,388.90 – $11,867.00 | 6 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $769.61 – $4,510.00 | 7 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,093.98 – $11,867.00 | 6 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,412.47 – $4,510.00 | 6 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $998.65 – $4,510.00 | 6 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $86.47 – $137.94 | 3 |
| Range of motion measurements CPT 95852 | not published | not published | $6.16 – $6.16 | 1 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $40.52 – $204.57 | 3 |
| Rapid desensitization CPT 95180 | $212.35 | $386.09 | $103.61 – $103.61 | 1 |
| Rapid Strep Test CPT 87880 | $61.05 | $111.00 | $16.53 – $32.42 | 3 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $124.46 – $700.30 | 3 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $21.28 – $363.97 | 3 |
| Rbc count only automated CPT 85041 | $7.70 | $14.00 | $3.02 – $6.08 | 3 |
| Rbc deglycerolized each unit HCPCS P9039 | $712.25 | $1,295.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $49.31 – $3,868.00 | 6 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $16.89 | 3 |
| Rbc osmotic fragility CPT 85555 | $117.70 | $214.00 | $7.47 – $14.86 | 3 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $29.66 – $270.22 | 3 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $159.64 – $159.64 | 1 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $82.84 – $82.84 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $28.06 – $28.06 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $34.37 – $34.37 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $46.47 – $46.47 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $44.30 – $44.30 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,595.59 – $4,510.00 | 6 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,360.25 – $4,510.00 | 6 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,703.50 – $4,510.00 | 6 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,774.04 – $4,510.00 | 6 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $721.20 – $4,510.00 | 6 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $909.30 – $4,510.00 | 6 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,163.69 – $4,510.00 | 6 |
| Realignment of knee CPT 27457 | not published | not published | $1,001.05 – $4,510.00 | 6 |
| Realignment of knee CPT 27455 | not published | not published | $981.42 – $4,510.00 | 6 |
| Realignment of tendons CPT 26437 | not published | not published | $626.39 – $4,510.00 | 7 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,357.79 – $4,510.00 | 6 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,112.19 – $6,335.00 | 7 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,076.24 – $6,335.00 | 7 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,422.10 – $8,785.00 | 7 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,119.45 – $4,510.00 | 7 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,574.03 – $8,785.00 | 7 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,648.74 – $4,510.00 | 6 |
| Rechanneling of artery CPT 35306 | not published | not published | $484.68 – $4,510.00 | 6 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,673.41 – $4,510.00 | 6 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,889.11 – $4,510.00 | 6 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,321.67 – $4,510.00 | 6 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,468.67 – $4,510.00 | 6 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,386.47 – $4,510.00 | 6 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,570.24 – $4,510.00 | 6 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,059.39 – $4,510.00 | 6 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,339.79 – $4,510.00 | 6 |
| Recipient nephrectomy CPT 50340 | not published | not published | $989.55 – $4,510.00 | 6 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $32.24 – $32.24 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,535.58 – $4,510.00 | 6 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,559.05 – $4,510.00 | 6 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,394.58 – $4,510.00 | 6 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,237.63 – $4,510.00 | 6 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,478.20 – $4,510.00 | 6 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,084.62 – $4,510.00 | 6 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,208.36 – $4,510.00 | 6 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,048.01 – $4,510.00 | 6 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,010.11 – $4,510.00 | 6 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,291.61 – $4,510.00 | 6 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $852.15 – $4,510.00 | 6 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $887.95 – $6,335.00 | 7 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $928.40 – $6,335.00 | 7 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,126.25 – $6,335.00 | 7 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $748.94 – $8,785.00 | 7 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $558.88 – $6,335.00 | 7 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $912.50 – $6,335.00 | 6 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,998.03 – $4,510.00 | 6 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $936.14 – $6,335.00 | 7 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,047.75 – $5,082.00 | 7 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,104.35 – $6,335.00 | 7 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $1,142.62 – $4,510.00 | 6 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $1,142.62 – $4,510.00 | 6 |
| Reconstruct extra finger CPT 26587 | $3,534.24 | $6,425.90 | $996.22 – $6,335.00 | 7 |
| Reconstruct finger joint CPT 26545 | not published | not published | $717.10 – $5,560.00 | 7 |
| Reconstruct finger joint CPT 26548 | not published | not published | $765.69 – $5,560.00 | 7 |
| Reconstruct head of radius CPT 24365 | not published | not published | $663.30 – $6,335.00 | 7 |
| Reconstruct head of radius CPT 24366 | not published | not published | $705.18 – $5,082.00 | 7 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,158.79 – $4,510.00 | 6 |
| Reconstruction knee CPT 27427 | not published | not published | $740.55 – $4,510.00 | 7 |
| Reconstruction knee CPT 27428 | not published | not published | $1,159.89 – $5,560.00 | 7 |
| Reconstruction knee CPT 27429 | not published | not published | $1,303.13 – $5,560.00 | 7 |
| Reconstruction of anus CPT 46753 | not published | not published | $600.57 – $4,510.00 | 7 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,660.59 – $4,510.00 | 6 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $735.39 – $4,510.00 | 7 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $946.64 – $4,510.00 | 7 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $944.44 – $4,510.00 | 7 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $696.42 – $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.