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 |
|---|---|---|---|---|
| Repl alkaline battery HCPCS L8622 | not published | not published | $0.23 – $0.23 | 1 |
| Replantation arm complete CPT 20802 | not published | not published | $2,009.00 – $5,082.00 | 6 |
| Replantation digit complete CPT 20822 | $4,327.90 | $7,868.90 | $1,866.00 – $4,510.00 | 6 |
| Replantation digit complete CPT 20816 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replantation foot complete CPT 20838 | not published | not published | $2,009.00 – $5,082.00 | 6 |
| Replantation hand complete CPT 20808 | not published | not published | $2,009.00 – $5,082.00 | 6 |
| Replantation of penis CPT 54438 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Replantation thumb complete CPT 20827 | not published | not published | $1,918.11 – $4,510.00 | 6 |
| Replantation thumb complete CPT 20824 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Replant forearm complete CPT 20805 | not published | not published | $2,009.00 – $5,082.00 | 6 |
| Replc sockt above elbow disa HCPCS L6884 | not published | not published | $1,941.16 – $1,941.16 | 1 |
| Replc sockt below e/w disa HCPCS L6883 | not published | not published | $1,509.18 – $1,509.18 | 1 |
| Replc sockt shldr dis/interc HCPCS L6885 | not published | not published | $2,343.78 – $2,343.78 | 1 |
| Repl cushions for jaw motion HCPCS E1701 | not published | not published | $1.18 – $1.18 | 1 |
| Repl girdle milwaukee orth HCPCS L4000 | not published | not published | $971.11 – $971.11 | 1 |
| Repl leath cuff kafo-afo cal HCPCS L4110 | not published | not published | $61.69 – $61.69 | 1 |
| Repl leath cuff kafo prox th HCPCS L4100 | not published | not published | $75.30 – $75.30 | 1 |
| Repl met band kafo-afo calf/ HCPCS L4090 | not published | not published | $79.28 – $79.28 | 1 |
| Repl met band kafo-afo prox HCPCS L4080 | not published | not published | $83.90 – $83.90 | 1 |
| Repl trach puncture dilator HCPCS L8514 | not published | not published | $68.86 – $68.86 | 1 |
| Repl zinc air battery HCPCS L8621 | not published | not published | $0.45 – $0.45 | 1 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | not published | not published | $360.60 – $11,867.00 | 6 |
| Reposition intraocular lens CPT 66825 | not published | not published | $768.14 – $5,560.00 | 7 |
| Reposition pm/icd lead CPT 33215 | not published | not published | $325.02 – $5,305.00 | 7 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $2,266.51 | $4,120.92 | $200.00 – $9,268.00 | 6 |
| Repos lv lead pm/icd CPT 33226 | not published | not published | $521.38 – $5,305.00 | 6 |
| Repos sq defib eltrd CPT 33273 | $4,821.60 | $8,766.54 | $421.32 – $11,867.00 | 6 |
| Rep perf anoper fistu CPT 46715 | not published | not published | $563.72 – $4,510.00 | 6 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $1,109.55 – $4,510.00 | 6 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $729.58 – $4,510.00 | 6 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $733.81 – $3,935.00 | 7 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $22.99 – $62.92 | 2 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $183.00 – $3,886.00 | 7 |
| Reprogram cochlear implt <7 CPT 92602 | $349.60 | $635.64 | $69.46 – $69.46 | 1 |
| Reprogram cochlear implt 7/> CPT 92604 | $349.60 | $635.64 | $69.03 – $69.03 | 1 |
| Repr per/vag pouch dbl proc CPT 46712 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Repr per/vag pouch sngl proc CPT 46710 | not published | not published | $1,092.41 – $4,510.00 | 6 |
| Repr pul art unifocal w/cpb CPT 33926 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Reptilase test CPT 85635 | $41.25 | $75.00 | $9.85 – $18.91 | 3 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $395.38 – $5,560.00 | 7 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $757.32 – $11,867.00 | 7 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $749.40 – $11,867.00 | 7 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $660.97 – $8,785.00 | 7 |
| Rerevise eye muscles add-on CPT 67332 | not published | not published | $339.60 – $3,886.00 | 5 |
| Rescj external cardiac tumor CPT 33130 | not published | not published | $1,468.23 – $4,510.00 | 6 |
| Resc recr ovr tbl pp utr mal CPT 58958 | not published | not published | $1,816.90 – $4,510.00 | 6 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $1,915.24 – $4,510.00 | 6 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $1,068.67 – $4,510.00 | 7 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $1,475.20 – $11,867.00 | 6 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $273.21 – $4,510.00 | 7 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect diaphragm complex CPT 39561 | not published | not published | $1,300.95 – $4,510.00 | 6 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $837.48 – $4,510.00 | 6 |
| Resect distal finger tumor CPT 26262 | not published | not published | $656.98 – $3,935.00 | 7 |
| Resect enlarged toe CPT 28341 | not published | not published | $511.71 – $5,560.00 | 7 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $429.00 – $5,560.00 | 7 |
| Resect/excise cranial lesion CPT 61600 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect/excise cranial lesion CPT 61601 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect/excise cranial lesion CPT 61605 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect/excise cranial lesion CPT 61606 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect/excise cranial lesion CPT 61607 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,505.21 – $4,510.00 | 6 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $731.50 – $4,510.00 | 7 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $1,061.06 – $11,867.00 | 6 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect fibula tumor CPT 27646 | not published | not published | $1,616.61 – $4,510.00 | 6 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $1,122.62 – $11,867.00 | 6 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $1,212.03 – $11,867.00 | 6 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $919.86 – $4,510.00 | 7 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $1,062.32 – $4,510.00 | 6 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,397.48 – $4,510.00 | 7 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $1,903.81 – $11,867.00 | 6 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect hip tumor CPT 27075 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect inferior turbinate CPT 30140 | not published | not published | $446.91 – $3,935.00 | 7 |
| Resection of elbow joint CPT 24155 | not published | not published | $887.94 – $4,510.00 | 7 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $1,035.41 – $5,560.00 | 7 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $1,063.22 – $4,510.00 | 7 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $1,323.41 – $11,867.00 | 6 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $929.26 – $4,510.00 | 6 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,202.54 – $4,510.00 | 6 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $794.71 – $4,510.00 | 7 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $2,009.00 – $4,510.00 | 6 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $1,403.97 – $11,867.00 | 7 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $1,711.21 – $4,510.00 | 6 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,174.63 – $4,510.00 | 6 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,508.85 – $4,510.00 | 6 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $256.80 – $4,510.00 | 7 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $508.48 – $4,510.00 | 7 |
| Resect prox finger tumor CPT 26260 | not published | not published | $835.50 – $4,510.00 | 7 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $1,546.16 – $4,510.00 | 6 |
| Resect recurrent gyn mal CPT 58957 | not published | not published | $2,009.00 – $4,510.00 | 4 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $1,070.28 – $4,510.00 | 7 |
| Resect tarsal tumor CPT 28171 | not published | not published | $885.35 – $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.