Derma-gide, 1 sq cm cost in Missouri

Derma-gide, 1 sq cm · HCPCS Q4203

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $124.65 – $361.78 6
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $124.65 – $361.78 6
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $124.65 – $361.78 6
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $1,953.11 – $1,953.11 1
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $123.96 – $224.36 8
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $361.78 – $361.78 1
SSM Health Saint Louis University Hospital Saint Louis not published $122.15 – $1,953.11 7
SSM Health DePaul Hospital - St. Louis Bridgeton not published $124.65 – $361.78 6
SSM Health St. Clare Hospital - Fenton Fenton not published $124.65 – $361.78 6