Drm agrft t/a/l ea addl cost in Missouri

DRM AGRFT T/A/L EA ADDL · CPT 15131

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $89.49 – $3,886.00 6
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $89.49 – $3,886.00 6
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $89.49 – $3,886.00 6
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $89.49 – $3,886.00 6
SSM Health Saint Louis University Hospital Saint Louis not published $102.75 – $3,886.00 5
SSM Health DePaul Hospital - St. Louis Bridgeton not published $89.49 – $3,886.00 6