Brief chkin, 5-10, non-e/m cost in Missouri

Brief chkin, 5-10, non-e/m · HCPCS G2251

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $10.56 – $12.67 5
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $10.56 – $12.67 5
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $10.56 – $12.67 5
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $13.35 – $13.35 1
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $10.50 – $19.01 8
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $13.67 – $13.67 1
SSM Health Saint Louis University Hospital Saint Louis not published $10.35 – $12.67 6
SSM Health DePaul Hospital - St. Louis Bridgeton not published $10.56 – $12.67 5
SSM Health St. Clare Hospital - Fenton Fenton not published $10.56 – $12.67 5