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 |
|---|---|---|---|---|
| Repair salivary duct CPT 42505 | not published | not published | $473.87 – $5,560.00 | 7 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,232.70 – $3,935.00 | 7 |
| Repair septal defect CPT 33813 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Repair shoulder capsule CPT 23450 | not published | not published | $988.44 – $6,335.00 | 7 |
| Repair shoulder capsule CPT 23455 | not published | not published | $1,041.97 – $8,785.00 | 7 |
| Repair shoulder capsule CPT 23460 | not published | not published | $1,136.26 – $6,335.00 | 7 |
| Repair shoulder capsule CPT 23462 | not published | not published | $1,110.49 – $8,785.00 | 7 |
| Repair shoulder capsule CPT 23465 | not published | not published | $1,168.49 – $6,335.00 | 7 |
| Repair shoulder capsule CPT 23466 | not published | not published | $1,168.43 – $8,785.00 | 7 |
| Repair single ventricle CPT 33617 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Repair single ventricle CPT 33619 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $1,731.20 – $4,510.00 | 6 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $969.99 – $7,415.00 | 6 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $908.93 – $4,510.00 | 6 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $1,657.78 – $4,510.00 | 6 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,676.41 – $4,510.00 | 6 |
| Repair stomach opening CPT 43870 | not published | not published | $747.40 – $3,886.00 | 7 |
| Repair tear ducts CPT 68700 | $1,584.30 | $2,880.54 | $612.72 – $3,935.00 | 7 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $2,898.61 | $5,270.20 | $323.06 – $4,510.00 | 7 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $5,268.84 | $9,579.70 | $648.95 – $5,560.00 | 7 |
| Repair testis injury CPT 54670 | not published | not published | $418.94 – $4,510.00 | 7 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $987.61 – $4,510.00 | 6 |
| Repair throat wound CPT 42900 | not published | not published | $354.48 – $3,886.00 | 7 |
| Repair toe dislocation CPT 28645 | not published | not published | $502.04 – $4,510.00 | 7 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $711.42 | $1,293.50 | $192.84 – $3,935.00 | 7 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,054.56 – $3,935.00 | 7 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Repair umbilical lesion CPT 49600 | not published | not published | $728.61 – $5,560.00 | 7 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,191.24 – $4,510.00 | 6 |
| Repair umbilical lesion CPT 49605 | not published | not published | $2,009.00 – $5,208.38 | 6 |
| Repair umbilical lesion CPT 49610 | not published | not published | $720.27 – $4,510.00 | 6 |
| Repair umbilical lesion CPT 49611 | not published | not published | $561.80 – $4,510.00 | 6 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $770.63 – $4,510.00 | 7 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $528.14 – $5,560.00 | 7 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $542.68 – $4,510.00 | 6 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $476.18 – $4,510.00 | 6 |
| Repair uro sphincter CPT 53449 | not published | not published | $634.10 – $3,886.00 | 7 |
| Repair vagina CPT 57335 | not published | not published | $1,151.87 – $4,510.00 | 6 |
| Repair vagina/perineum CPT 57210 | $1,892.60 | $3,441.10 | $377.56 – $3,935.00 | 7 |
| Repair valve femoral vein CPT 34501 | not published | not published | $964.27 – $4,510.00 | 6 |
| Repair venous anomaly CPT 33724 | not published | not published | $1,628.97 – $4,510.00 | 6 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $2,009.00 – $4,510.00 | 5 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,207.23 – $4,510.00 | 6 |
| Repair vessel graft defect CPT 35870 | not published | not published | $1,347.33 – $4,510.00 | 6 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $378.42 – $5,560.00 | 7 |
| Repair windpipe opening CPT 31614 | not published | not published | $776.91 – $3,935.00 | 7 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $1,143.32 – $4,510.00 | 6 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $16.55 – $16.55 | 1 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $1,653.34 – $9,268.00 | 6 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $1,575.22 – $9,268.00 | 6 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,714.99 – $9,268.00 | 6 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $1,887.67 – $9,268.00 | 6 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $1,051.09 – $9,268.00 | 6 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $796.37 – $9,268.00 | 6 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $662.82 – $9,268.00 | 6 |
| Replace brain cavity shunt CPT 62258 | not published | not published | $1,202.70 – $4,510.00 | 6 |
| Replace duod/jej tube perc CPT 49451 | $1,927.64 | $3,504.80 | $96.29 – $2,939.00 | 6 |
| Replace elbow joint CPT 24363 | not published | not published | $1,516.62 – $6,026.00 | 7 |
| Replace eye fluid CPT 67025 | not published | not published | $641.86 – $3,886.00 | 7 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $12.05 – $12.05 | 1 |
| Replace g/c tube perc CPT 49450 | $2,194.34 | $3,989.70 | $71.21 – $2,939.00 | 6 |
| Replace g-j tube perc CPT 49452 | $1,714.35 | $3,117.00 | $148.99 – $2,939.00 | 6 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $224.11 – $224.11 | 1 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $519.29 – $3,886.00 | 7 |
| Replace/irrigate catheter CPT 62225 | $4,140.56 | $7,528.30 | $558.80 – $3,886.00 | 7 |
| Replacement aortic valve opn CPT 33410 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replacement of aortic valve CPT 33412 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replacement of aortic valve CPT 33413 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replacement of contact lens CPT 92326 | not published | not published | $34.68 – $34.68 | 1 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $284.26 – $284.26 | 1 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $319.08 – $319.08 | 1 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $294.64 – $294.64 | 1 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $195.72 – $195.72 | 1 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $241.85 – $241.85 | 1 |
| Replace picvad cath CPT 36585 | $3,954.66 | $7,190.30 | $299.11 – $4,510.00 | 7 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $374.51 – $374.51 | 1 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $219.14 – $219.14 | 1 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $663.03 – $663.03 | 1 |
| Replace/revise brain shunt CPT 62230 | $5,579.86 | $10,145.20 | $901.56 – $3,935.00 | 7 |
| Replace skull plate/flap CPT 62143 | not published | not published | $1,116.76 – $4,510.00 | 6 |
| Replace socket above knee HCPCS L5701 | not published | not published | $2,892.47 – $2,892.47 | 1 |
| Replace socket below knee HCPCS L5700 | not published | not published | $2,458.41 – $2,458.41 | 1 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $356.78 – $356.78 | 1 |
| Replace socket hip HCPCS L5702 | not published | not published | $4,211.18 – $4,211.18 | 1 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $625.78 – $4,510.00 | 7 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $514.79 – $514.79 | 1 |
| Replace tunneled cv cath CPT 36578 | $5,170.88 | $9,401.60 | $228.11 – $3,935.00 | 7 |
| Replace ureter by bowel CPT 50840 | not published | not published | $1,277.99 – $4,510.00 | 6 |
| Replace vad intra w/bp CPT 33983 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replace vad intra without bp CPT 33982 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replace vad pump ext CPT 33981 | not published | not published | $891.63 – $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.