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 |
|---|---|---|---|---|
| Release of foot tendon 28225 CPT 28225 | not published | not published | $266.88 – $3,886.00 | 7 |
| Release of foot tendons CPT 28222 | not published | not published | $359.67 – $3,886.00 | 7 |
| Release of foot tendons CPT 28226 | not published | not published | $302.98 – $3,886.00 | 7 |
| Release of lower leg tendon CPT 27680 | not published | not published | $445.97 – $4,510.00 | 7 |
| Release of lower leg tendons CPT 27681 | not published | not published | $566.80 – $3,935.00 | 7 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,668.50 – $4,510.00 | 6 |
| Release of midfoot joint CPT 28260 | not published | not published | $531.24 – $4,510.00 | 7 |
| Release of midfoot joint CPT 28264 | not published | not published | $669.29 – $3,886.00 | 7 |
| Release of shoulder ligament CPT 23415 | not published | not published | $723.45 – $6,335.00 | 7 |
| Release of skull seams CPT 61550 | not published | not published | $1,018.59 – $4,510.00 | 6 |
| Release of skull seams CPT 61552 | not published | not published | $1,163.10 – $4,510.00 | 6 |
| Release of ureter CPT 50715 | not published | not published | $1,275.15 – $4,510.00 | 6 |
| Release of ureter CPT 50722 | not published | not published | $1,072.65 – $4,510.00 | 6 |
| Release of ureter CPT 50940 | not published | not published | $922.08 – $4,510.00 | 6 |
| Release palm contracture CPT 26040 | not published | not published | $318.15 – $5,560.00 | 7 |
| Release palm contracture CPT 26121 | not published | not published | $615.08 – $5,560.00 | 7 |
| Release palm contracture CPT 26123 | not published | not published | $858.35 – $5,560.00 | 7 |
| Release palm contracture CPT 26125 | not published | not published | $286.64 – $3,886.00 | 5 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $481.46 – $4,510.00 | 7 |
| Release palm & finger tendon CPT 26442 | not published | not published | $972.47 – $4,510.00 | 7 |
| Release palm/finger tendon CPT 26440 | not published | not published | $619.66 – $4,510.00 | 7 |
| Release/revise ureter CPT 50725 | not published | not published | $1,157.18 – $4,510.00 | 6 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $1,640.01 – $11,867.00 | 6 |
| Release thumb contracture CPT 26508 | not published | not published | $635.94 – $4,510.00 | 7 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $537.58 – $4,510.00 | 7 |
| Relieve bladder contracture CPT 52640 | not published | not published | $324.67 – $3,935.00 | 7 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Relocation of testis(es) CPT 54680 | not published | not published | $817.60 – $4,510.00 | 7 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $439.98 – $19,373.00 | 7 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $363.90 – $19,373.00 | 7 |
| Rem/biv cast full arm/leg CPT 29705 | $713.57 | $1,297.40 | $49.57 – $3,868.00 | 6 |
| Rem/biv cast shldr/hip spica CPT 29710 | $682.11 | $1,240.20 | $88.37 – $3,868.00 | 6 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $7.82 – $12.48 | 3 |
| Rem endovas vena cava filter CPT 37193 | $4,313.62 | $7,842.95 | $390.54 – $4,510.00 | 6 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $34.36 – $34.36 | 1 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $73.80 – $73.80 | 1 |
| Rem interrog evl pm/ids CPT 93296 | $80.30 | $146.00 | $25.58 – $25.58 | 1 |
| Rem interrog evl pm/ldls pm CPT 93294 | $104.39 | $189.80 | $34.79 – $34.79 | 1 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $61.65 – $61.65 | 1 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $18.54 – $18.54 | 1 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $37.54 – $37.54 | 1 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $26.84 – $26.84 | 1 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $665.95 – $665.95 | 1 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $9.51 – $9.51 | 1 |
| Removable insert each HCPCS L6691 | not published | not published | $299.58 – $299.58 | 1 |
| Removable soft interface le HCPCS K0672 | not published | not published | $8.24 – $8.24 | 1 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $737.24 – $4,510.00 | 6 |
| Removal allograft pancreas CPT 48556 | not published | not published | $1,334.43 – $4,510.00 | 5 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $94.03 – $3,886.00 | 6 |
| Removal biliary drg cath CPT 47537 | $3,780.92 | $6,874.40 | $104.43 – $3,868.00 | 6 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,110.68 | $3,837.60 | $145.01 – $3,886.00 | 7 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $4,110.54 | $7,473.70 | $215.78 – $3,886.00 | 7 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $140.75 – $6,335.00 | 7 |
| Removal cerclage without anes CPT 59899 | not published | not published | $540.00 – $4,510.00 | 6 |
| Removal cerumen impacted (both sides) CPT 69210 | $449.02 | $816.40 | $34.09 – $3,868.00 | 6 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $4,456.19 | $8,102.16 | $639.56 – $11,867.00 | 7 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $1,019.07 – $11,867.00 | 7 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $540.00 – $1,486.00 | 3 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $163.02 | $296.40 | $84.65 – $84.65 | 1 |
| Removal duct glbldr calculi CPT 47544 | $5,657.08 | $10,285.60 | $226.46 – $2,776.00 | 4 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $731.44 | $1,329.90 | $137.06 – $3,868.00 | 6 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $104.65 – $3,886.00 | 7 |
| Removal foreign body foot cmplx CPT 28193 | $1,537.25 | $2,795.00 | $383.94 – $5,560.00 | 7 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,266.98 | $2,303.60 | $138.55 – $3,886.00 | 7 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $178.88 – $3,868.00 | 6 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $273.96 – $3,868.00 | 6 |
| Removal foreign body mouth CPT 40805 | not published | not published | $245.95 – $3,935.00 | 6 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $354.87 – $3,935.00 | 7 |
| Removal implant superficial separate procedure CPT 20670 | $3,960.38 | $7,200.70 | $152.13 – $3,886.00 | 7 |
| Removal kidney open complex CPT 50225 | not published | not published | $1,249.73 – $4,510.00 | 6 |
| Removal kidney open radical CPT 50230 | not published | not published | $1,335.12 – $4,510.00 | 6 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $653.30 – $3,886.00 | 7 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $528.93 – $4,510.00 | 7 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $1,052.95 – $5,560.00 | 7 |
| Removal of adenoids CPT 42830 | not published | not published | $216.09 – $5,560.00 | 7 |
| Removal of adenoids CPT 42831 | not published | not published | $232.17 – $5,560.00 | 7 |
| Removal of adenoids CPT 42836 | not published | not published | $250.95 – $5,560.00 | 7 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $200.86 – $5,560.00 | 7 |
| Removal of anal fissure CPT 46200 | not published | not published | $335.62 – $3,935.00 | 7 |
| Removal of anal tags CPT 46230 | not published | not published | $180.21 – $3,886.00 | 7 |
| Removal of ankle bone CPT 28130 | not published | not published | $632.18 – $4,510.00 | 7 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $429.97 – $3,935.00 | 7 |
| Removal of ankle implant CPT 27704 | not published | not published | $597.41 – $3,935.00 | 7 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $643.81 – $4,510.00 | 6 |
| Removal of artery clot CPT 34051 | not published | not published | $961.08 – $4,510.00 | 6 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $646.96 – $4,510.00 | 6 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,510.88 – $4,510.00 | 6 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $1,060.06 – $4,510.00 | 6 |
| Removal of bladder CPT 51570 | not published | not published | $1,540.89 – $4,510.00 | 6 |
| Removal of bladder lesion CPT 51520 | not published | not published | $615.93 – $5,560.00 | 7 |
| Removal of bladder lesion CPT 51525 | not published | not published | $893.21 – $4,510.00 | 6 |
| Removal of bladder lesion CPT 51530 | not published | not published | $813.13 – $4,510.00 | 6 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $1,897.46 – $4,510.00 | 6 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Removal of bladder stone CPT 51050 | not published | not published | $488.69 – $5,560.00 | 7 |
| Removal of bone for graft CPT 20900 | not published | not published | $198.54 – $4,510.00 | 7 |
| Removal of bone for graft CPT 20902 | not published | not published | $299.66 – $5,560.00 | 7 |
| Removal of bone lesion CPT 23140 | not published | not published | $546.99 – $5,560.00 | 7 |
| Removal of bone lesion CPT 23145 | not published | not published | $722.11 – $6,335.00 | 7 |
| Removal of bone lesion CPT 23146 | not published | not published | $643.95 – $6,335.00 | 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.