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 |
|---|---|---|---|---|
| Biopsy roof of mouth CPT 42100 | not published | not published | $115.15 – $3,868.00 | 6 |
| Biopsy skin incisional single lesion CPT 11106 | $880.88 | $1,601.60 | $761.05 – $2,939.00 | 6 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,810.66 | $5,110.30 | $163.23 – $3,868.00 | 6 |
| Biopsy thigh soft tissues CPT 27324 | $3,653.65 | $6,643.00 | $409.94 – $3,886.00 | 7 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $113.53 – $3,868.00 | 6 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $129.94 – $3,935.00 | 7 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $113.75 – $3,868.00 | 6 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $438.37 – $4,510.00 | 7 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $409.60 – $4,510.00 | 7 |
| Biospy of bladder CPT 53899 | not published | not published | $540.00 – $4,510.00 | 5 |
| Biotinidase - quest CPT 82261 | $56.10 | $102.00 | $16.87 – $33.10 | 3 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $112.05 – $112.05 | 1 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.20 – $0.31 | 2 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $651.36 | $1,184.30 | $46.86 – $3,886.00 | 7 |
| Bld exchange truj oth thn nb CPT 36455 | $640.64 | $1,164.80 | $135.72 – $3,868.00 | 6 |
| Bld prd mix CPT 86965 | $113.85 | $207.00 | $30.72 – $149.16 | 3 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $59.02 – $3,868.00 | 6 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $24.28 – $39.93 | 2 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $519.47 – $4,510.00 | 7 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $396.75 – $4,510.00 | 7 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $552.09 – $6,335.00 | 7 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $552.77 – $4,510.00 | 7 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $61.70 – $304.69 | 3 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $2,009.00 – $5,082.00 | 5 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $5,249.00 – $6,823.00 | 3 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $2,009.00 – $6,823.00 | 5 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $2,009.00 – $5,082.00 | 5 |
| Blink reflex test CPT 95933 | $459.74 | $835.90 | $51.83 – $51.83 | 1 |
| Blm gene CPT 81209 | $204.60 | $372.00 | $39.31 – $77.01 | 3 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $490.15 | $891.18 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $1,128.24 | $2,051.35 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,058.73 | $3,743.15 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,042.37 | $1,895.22 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $10.42 – $10.42 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $82.83 – $3,868.00 | 6 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $74.06 – $3,868.00 | 6 |
| Block paracervical nrv CPT 64435 | not published | not published | $86.87 – $3,868.00 | 6 |
| Block plantar digital nerve CPT 64455 | not published | not published | $36.02 – $2,109.00 | 6 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $82.41 – $3,158.00 | 4 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $65.71 – $3,158.00 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $26.95 | $49.00 | $4.29 – $8.10 | 3 |
| Blood Clotting (PTT) Test CPT 85730 | $32.45 | $59.00 | $6.01 – $11.49 | 3 |
| Blood Count (CBC) Test CPT 85025 | $42.90 | $78.00 | $7.77 – $14.86 | 3 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $31.90 | $58.00 | $6.47 – $12.83 | 3 |
| Blood count spun microhematocrit CPT 85013 | $25.85 | $47.00 | $3.29 – $13.51 | 3 |
| Blood Culture Test CPT 87040 | $108.35 | $197.00 | $10.32 – $20.26 | 3 |
| Blood draw capillary 36416 CPT 36416 | $31.90 | $58.00 | $3.06 – $4.05 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | $271.15 | $493.00 | $39.40 – $154.01 | 3 |
| Blood gases ph venous CPT 82800 | $130.35 | $237.00 | $11.00 – $21.61 | 3 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $50.60 | $92.00 | $15.92 – $31.07 | 3 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $28.60 | $52.00 | $4.23 – $8.10 | 3 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $14.85 | $27.00 | $4.38 – $8.78 | 3 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $26.40 | $48.00 | $4.52 – $10.14 | 3 |
| Blood smear interpretation CPT 85060 | $75.35 | $137.00 | $24.77 – $31.94 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $19.80 | $36.00 | $3.80 – $7.43 | 3 |
| Blood split unit HCPCS P9011 | $253.55 | $461.00 | $63.87 – $63.87 | 1 |
| Blood typing abo CPT 86900 | $64.90 | $118.00 | $2.99 – $6.08 | 3 |
| Blood typing ag donor ea ag CPT 86902 | $224.95 | $409.00 | $5.30 – $12.16 | 3 |
| Blood typing patient serum CPT 86904 | $67.10 | $122.00 | $13.20 – $31.75 | 3 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $166.10 | $302.00 | $3.83 – $7.43 | 3 |
| Blood typing rh (d) CPT 86901 | $32.45 | $59.00 | $2.99 – $6.08 | 3 |
| Blood typing rh phenotype complete reference CPT 86906 | $31.90 | $58.00 | $7.75 – $14.86 | 3 |
| Blood volume CPT 78122 | not published | not published | $76.71 – $880.92 | 3 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $540.00 – $1,486.00 | 2 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $224.76 – $3,935.00 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $295.90 | $538.00 | $30.48 – $196.15 | 3 |
| Bone filler cerament 10cc HCPCS C1602 | $4,517.45 | $8,213.54 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $650.10 | $1,182.00 | $193.67 – $678.82 | 3 |
| Bone/joint imaging ltd area CPT 78300 | $622.05 | $1,131.00 | $151.97 – $678.82 | 3 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,751.75 | $3,185.00 | $64.10 – $3,886.00 | 7 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,946.23 | $3,538.60 | $78.13 – $3,868.00 | 6 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $206.44 – $4,510.00 | 6 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $212.70 – $11,867.00 | 7 |
| Bone marrow imaging body CPT 78104 | not published | not published | $211.16 – $678.82 | 3 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $145.68 – $678.82 | 3 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $189.11 – $678.82 | 3 |
| Bone marrow interpretation CPT 85097 | $77.00 | $140.00 | $50.31 – $656.15 | 3 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,009.00 – $5,560.00 | 6 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,009.00 – $5,560.00 | 6 |
| Bone survey-lead poisoning CPT 77074 | $559.44 | $1,017.17 | $40.28 – $196.15 | 3 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $10.46 – $10.46 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $0.99 – $0.99 | 1 |
| Boot j walker l HCPCS L4386 | not published | not published | $115.55 – $115.55 | 1 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $117.93 – $117.93 | 1 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $115.55 – $115.55 | 1 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $189.60 – $189.60 | 1 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $189.60 – $189.60 | 1 |
| Borrelia antibody CPT 86619 | $190.30 | $346.00 | $13.38 – $26.34 | 3 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $93.50 | $170.00 | $17.03 – $33.10 | 3 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $35.80 | 2 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $1.85 – $5.18 | 2 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $6.75 | 3 |
| Bowel imaging CPT 78290 | $2,038.85 | $3,707.00 | $304.65 – $678.82 | 3 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $106.95 – $106.95 | 1 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $352.30 – $352.30 | 1 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $189.32 – $189.32 | 1 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $379.53 – $379.53 | 1 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $611.98 – $611.98 | 1 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $82.34 – $82.34 | 1 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $61.21 – $61.21 | 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.