Amifostine cost in Missouri

Amifostine · HCPCS J0207

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $1,092.84 – $1,092.84 1
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $1,092.84 – $1,092.84 1
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $1,092.84 – $1,092.84 1
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $1,092.84 – $1,092.84 1
SSM Health Saint Louis University Hospital Saint Louis not published $634.78 – $973.91 2
SSM Health DePaul Hospital - St. Louis Bridgeton not published $1,092.84 – $1,092.84 1