Amnio-maxx or lite per sq cm cost in Missouri

Amnio-maxx or lite per sq cm · HCPCS Q4239

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $68.36 – $149.57 6
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $68.36 – $149.57 6
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $68.36 – $149.57 6
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $66.78 – $3,529.36 2
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $112.14 – $224.36 8
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $68.36 – $120.19 2
SSM Health Saint Louis University Hospital Saint Louis not published $78.49 – $3,529.36 7
SSM Health DePaul Hospital - St. Louis Bridgeton not published $68.36 – $149.57 6
SSM Health St. Clare Hospital - Fenton Fenton not published $68.36 – $149.57 6