Skip to main content
PricedCare

Shriners Hospitals for Children

4400 Clayton Ave, Saint Louis, MO 63110 · (314) 432-3600

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

Price file

Prices published

File dated 2026-03-18

574 price rows for 31 procedures

Published prices

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

CPT 80048 · metro median $67

$67
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,063

$3,175
cash
CT scan of the head, no contrast

CPT 70450 · metro median $858

$1,080
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,373

$1,645
cash
Chlamydia test (DNA)

CPT 87491 · metro median $74

$165
cash
Complete blood count (CBC) with differential

CPT 85025 · metro median $35

$61
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $73

$83
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $184

$365
cash
Gonorrhea test (DNA)

CPT 87591 · metro median $111

$165
cash
Hip or knee replacement, no major complications

MS-DRG 470

—
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—
cash
Lipid panel (cholesterol test)

CPT 80061 · metro median $46

$105
cash
Liver function panel

CPT 80076 · metro median $64

$64
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $2,359

$2,965
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,358

$1,936
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $1,429

$5,395
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,481

$5,530
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473

—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,598

$4,019
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $135

$292
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $184

$374
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $218

$551
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $26

$47
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $91

$765
cash
Prothrombin time (blood clotting test)

CPT 85610 · metro median $16

$31
cash
Spinal fusion (not neck), no complications

MS-DRG 460

—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,565

$4,199
cash
TSH test (thyroid)

CPT 84443 · metro median $26

$132
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $636

$647
cash
Urinalysis with microscope

CPT 81001 · metro median $19

$25
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $358

$417
cash

Source files

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