Arthrd wrst iliac/oth agrft cost in Missouri

ARTHRD WRST ILIAC/OTH AGRFT · CPT 25810

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $2,277.00 – $23,146.94 10
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $916.73 – $13,078.02 8
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $916.73 – $4,464.00 7
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $916.73 – $13,078.02 8
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $916.73 – $13,078.02 8
SSM Health St. Clare Hospital - Fenton Fenton not published $916.73 – $13,078.02 8
SSM Health Saint Louis University Hospital Saint Louis not published $1,052.62 – $13,245.19 9
SSM Health DePaul Hospital - St. Louis Bridgeton not published $916.73 – $13,078.02 8
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $895.48 – $6,335.00 7