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Childrens Hospital

Ssm Health Cardinal Glennon Children S Hospital

SSM Health · Saint Louis, MO

1465 South Grand Boulevard, Saint Louis, MO 631043145775600

195

Beds

31

In-network payers

About this facility

Ssm Health Cardinal Glennon Children S Hospital is a 195-bed facility in Saint Louis, MO, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 350 disclosed rate categories.

CCN
269807
NPI
1508935891
Health system
SSM Health
County
St. Louis city
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05301)
In Medicare since
2010
Last CMS survey
2024

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very High

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very High

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Average

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ssm Health Cardinal Glennon Children S Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
43-0738490(multi-state) SSM Health Cardinal Glennon Childrens Hospital59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1174577670 Ssm Cardinal Glennon Childrens Hospital1073568226 Ssm Cardinal Glennon Childrens Hospital1356412308 Ssm Cardinal Glennon Children's Hospitaland 20 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1465 South Grand Boulevard, Saint Louis, MO 63104

3145775600

Get directions

Frequently asked questions

About Ssm Health Cardinal Glennon Children S Hospital's rates and hospital price transparency.

What is Ssm Health Cardinal Glennon Children S Hospital's tax ID (EIN)?

Insurers' price transparency files list Ssm Health Cardinal Glennon Children S Hospital under employer identification number 43-0738490 ((multi-state) SSM Health Cardinal Glennon Childrens Hospital). 59 health plans and networks list 43-0738490 for it.

Is Ssm Health Cardinal Glennon Children S Hospital accredited?

CMS's Provider of Services file lists no accrediting organization for Ssm Health Cardinal Glennon Children S Hospital; it is certified for Medicare through state survey.

How many beds does Ssm Health Cardinal Glennon Children S Hospital have?

Ssm Health Cardinal Glennon Children S Hospital has 195 beds. Facility type: Childrens Hospital.

Where is Ssm Health Cardinal Glennon Children S Hospital and what is its phone number?

Ssm Health Cardinal Glennon Children S Hospital is located at 1465 South Grand Boulevard, Saint Louis, MO 63104. Its main phone number is 3145775600.

What is Ssm Health Cardinal Glennon Children S Hospital's CCN (Medicare provider number)?

Ssm Health Cardinal Glennon Children S Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 269807.

What is Ssm Health Cardinal Glennon Children S Hospital's NPI number?

The National Provider Identifier (NPI) on file for Ssm Health Cardinal Glennon Children S Hospital is 1508935891.

What health system is Ssm Health Cardinal Glennon Children S Hospital part of?

Ssm Health Cardinal Glennon Children S Hospital is affiliated with SSM Health.

Which insurance plans are in network at Ssm Health Cardinal Glennon Children S Hospital?

Ssm Health Cardinal Glennon Children S Hospital lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Ssm Health Cardinal Glennon Children S Hospital?

350 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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