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Ranken Jordan Pediatric Bridge Hospital

11365 Dorsett Road, Maryland Heights, MO 63043 · (314) 872-6400

ChildrensVoluntary non-profit - OtherSt. Louis, MO-IL metroWebsite ↗

Price file

Prices published

File dated 2026-04-24

216 price rows for 32 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $67

$7
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $858

$1,596
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,373

$1,889
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $1,115

$898
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $4,412

$1,245
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $35

$4
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $73

$9
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 4 lines · metro median $49

$308
cash
$427
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $187

$187
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $245

$180
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $123

$45
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $46

$17
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $64

$7
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,359

$2,476
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $1,358

$413
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,429

$1,975
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,481

$2,285
cash
New patient office visit (about 30 minutes)

CPT 99203 · metro median $135

$409
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $184

$602
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $218

$743
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $26

$26
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $91

$58
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $16

$6
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $179

$111
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $151

$148
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $235

$223
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $26

$16
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $636

$787
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $1,129

$810
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $710

$1,122
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $19

$5
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.