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 |
|---|---|---|---|---|
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,358.35 – $4,510.00 | 6 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,143.48 – $4,510.00 | 6 |
| Reconstruction of jaw CPT 21245 | not published | not published | $917.86 – $8,785.00 | 7 |
| Reconstruction of jaw CPT 21246 | not published | not published | $934.91 – $8,785.00 | 7 |
| Reconstruction of jaw CPT 21248 | not published | not published | $948.17 – $8,785.00 | 7 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,352.83 – $8,785.00 | 7 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,169.01 – $5,560.00 | 7 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,070.74 – $6,335.00 | 7 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,775.44 – $6,335.00 | 7 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,106.18 – $8,785.00 | 7 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,625.35 – $4,510.00 | 6 |
| Reconstruction of mouth CPT 40840 | not published | not published | $659.49 – $3,935.00 | 7 |
| Reconstruction of mouth CPT 40842 | not published | not published | $685.92 – $4,510.00 | 7 |
| Reconstruction of mouth CPT 40843 | not published | not published | $905.94 – $4,510.00 | 7 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,103.82 – $6,335.00 | 7 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,292.43 – $6,335.00 | 7 |
| Reconstruction of nail bed CPT 11762 | $3,158.16 | $5,742.10 | $191.47 – $3,868.00 | 6 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,207.01 – $6,335.00 | 7 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,405.94 – $6,335.00 | 7 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,233.83 – $4,510.00 | 6 |
| Reconstruction of throat CPT 42950 | not published | not published | $821.24 – $3,935.00 | 7 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,018.27 – $3,935.00 | 7 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,175.68 – $4,510.00 | 6 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,002.18 – $3,935.00 | 7 |
| Reconstruction of urethra CPT 54308 | not published | not published | $742.01 – $4,510.00 | 7 |
| Reconstruction of urethra CPT 54312 | not published | not published | $849.66 – $4,510.00 | 7 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,037.86 – $4,510.00 | 7 |
| Reconstruction of urethra CPT 54318 | not published | not published | $744.89 – $4,510.00 | 7 |
| Reconstruction of urethra CPT 54322 | not published | not published | $811.17 – $4,510.00 | 7 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,007.85 – $4,510.00 | 7 |
| Reconstruction of urethra CPT 54326 | not published | not published | $983.35 – $4,510.00 | 7 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $271.60 – $3,935.00 | 7 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $644.43 – $3,935.00 | 7 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $573.54 – $3,935.00 | 7 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,366.24 – $4,510.00 | 6 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $1,588.63 – $4,510.00 | 6 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,833.60 – $4,510.00 | 6 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $1,253.31 – $5,082.00 | 6 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,519.60 – $5,082.00 | 6 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $915.72 – $6,335.00 | 7 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,283.23 – $6,335.00 | 7 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,200.75 – $3,935.00 | 7 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $873.69 – $4,510.00 | 7 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $973.62 – $3,935.00 | 7 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,637.07 – $4,510.00 | 6 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,240.00 – $4,510.00 | 6 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,471.19 – $4,510.00 | 6 |
| Rectal sensation test CPT 91120 | $306.02 | $556.40 | $375.99 – $540.00 | 2 |
| Red blood cells each unit HCPCS P9021 | $264.55 | $481.00 | not published | 0 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $495.55 | $901.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $435.05 | $791.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $545.05 | $991.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $582.45 | $1,059.00 | not published | 0 |
| Red cell mass multiple CPT 78121 | not published | not published | $91.06 – $880.92 | 3 |
| Red cell mass single CPT 78120 | not published | not published | $83.72 – $678.82 | 3 |
| Red cell sequestration CPT 78140 | not published | not published | $107.90 – $678.82 | 3 |
| Red cell survival study CPT 78130 | not published | not published | $131.02 – $678.82 | 3 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Redo endovas vena cava filtr CPT 37192 | $4,435.43 | $8,064.41 | $396.94 – $4,510.00 | 6 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $981.68 – $4,510.00 | 6 |
| Reduce testis torsion CPT 54600 | not published | not published | $468.79 – $5,560.00 | 7 |
| Reduction of facial bones CPT 21209 | not published | not published | $637.56 – $6,335.00 | 7 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $213.04 – $3,886.00 | 7 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,440.36 – $4,510.00 | 6 |
| Reduction of skull defect CPT 62117 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $915.34 – $4,510.00 | 6 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $382.60 – $4,510.00 | 6 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,348.13 – $11,867.00 | 6 |
| Refill maint impl spine pump CPT 95991 | $311.66 | $566.65 | $40.61 – $540.00 | 2 |
| Refill/maint pump/resvr syst CPT 96522 | $440.44 | $800.80 | $112.55 – $112.55 | 1 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | not published | not published | $3.36 – $5.60 | 2 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $160.07 – $4,510.00 | 6 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $1,164.87 – $4,510.00 | 6 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $1,173.23 – $4,510.00 | 6 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $1,263.04 – $4,510.00 | 6 |
| Reinforce clavicle CPT 23490 | not published | not published | $897.21 – $4,510.00 | 7 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $137.26 – $137.26 | 1 |
| Reinforce eye wall CPT 67250 | not published | not published | $789.88 – $4,510.00 | 7 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $691.71 – $4,510.00 | 7 |
| Reinforce hip bones CPT 27187 | not published | not published | $1,032.05 – $4,510.00 | 6 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,054.34 – $4,510.00 | 7 |
| Reinforce thigh CPT 27495 | not published | not published | $1,175.01 – $4,510.00 | 6 |
| Reinforce tibia CPT 27745 | not published | not published | $788.30 – $4,510.00 | 7 |
| Reinnervate larynx CPT 31590 | not published | not published | $906.81 – $6,335.00 | 7 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,375.90 – $7,415.00 | 6 |
| Reinsert ocular implant CPT 65155 | not published | not published | $854.13 – $4,510.00 | 7 |
| Release encircling material CPT 67115 | not published | not published | $505.87 – $3,935.00 | 7 |
| Release eye tissue CPT 67343 | not published | not published | $662.52 – $8,785.00 | 7 |
| Release facial nerve CPT 69720 | not published | not published | $1,238.54 – $6,335.00 | 7 |
| Release facial nerve CPT 69725 | not published | not published | $1,954.07 – $4,510.00 | 6 |
| Release facial nerve CPT 69955 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Release finger contracture CPT 26525 | not published | not published | $651.91 – $4,510.00 | 7 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $714.02 – $4,510.00 | 7 |
| Release inner ear canal CPT 69960 | not published | not published | $2,004.23 – $4,510.00 | 6 |
| Release knuckle contracture CPT 26520 | not published | not published | $651.51 – $4,510.00 | 7 |
| Release middle ear bone CPT 69650 | not published | not published | $829.93 – $8,785.00 | 7 |
| Release muscles of hand CPT 26593 | not published | not published | $601.77 – $4,510.00 | 7 |
| Release of eye fluid CPT 67015 | not published | not published | $587.57 – $3,886.00 | 7 |
| Release of foot tendon CPT 28220 | not published | not published | $312.96 – $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.