Shriners Childrens - St Louis
Shriners Childrens - St Louis in Saint Louis, MO publishes cash prices for 30 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
4400 Clayton Ave,Saint Louis,MO,63110 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $3,175.30 | $3,175.30 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,080.30 | $1,080.30 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,644.80 | $1,644.80 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,935.50 | $1,935.50 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,964.90 | $2,964.90 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,935.50 | $1,935.50 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $2,964.90 | $2,964.90 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $5,395.20 | $5,395.20 | — |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $646.50 | $646.50 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $416.60 | $416.60 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $66.50 | $66.50 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $105.20 | $105.20 | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $61.20 | $61.20 | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $80.20 | $80.20 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $83.00 | $83.00 | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $68.20 | $68.20 | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $64.20 | $64.20 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $47.20 | $47.20 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $30.90 | $30.90 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $131.90 | $131.90 | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $17.60 | $17.60 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $20.10 | $20.10 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $4,198.61 | $4,198.61 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $4,018.88 | $4,018.88 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $292.40 | $292.40 | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $417.37 | $417.37 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $373.60 | $373.60 | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $677.22 | $677.22 | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $551.40 | $551.40 | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $921.13 | $921.13 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $764.50 | $764.50 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $514.79 | $514.79 | — |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/3dcccbedd70608f376ba25fc12104532/charges/mrf