Allograft graftjacket 2x12cm-q4107-cost per sq cm cost in Missouri
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$2,674.32
lowest in Missouri
$2,674.32
state median
$2,674.32
highest in Missouri
$2,513.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $2,674.32 | $79.53 – $149.57 | 5 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $2,674.32 | $79.53 – $149.57 | 5 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $2,674.32 | $79.53 – $149.57 | 5 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $2,674.32 | $79.53 – $149.57 | 5 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $2,674.32 | $79.53 – $79.53 | 1 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $2,674.32 | $79.53 – $149.57 | 5 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $123.96 – $224.36 | 8 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $91.32 – $149.57 | 6 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $77.69 – $77.69 | 1 |