Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Missouri
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
$5,085.77
lowest in Missouri
$5,085.77
state median
$7,196.43
highest in Missouri
$10,534.20
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $5,085.77 | $38.67 – $149.57 | 6 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $5,085.77 | $38.67 – $149.57 | 6 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $5,085.77 | $38.67 – $86.68 | 2 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $5,085.77 | $38.67 – $149.57 | 6 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $5,085.77 | $38.67 – $149.57 | 6 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $5,085.77 | $38.67 – $149.57 | 6 |
| SSM Health Saint Louis University Hospital | Saint Louis | $7,196.43 | $44.40 – $149.57 | 7 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $30.22 – $224.36 | 8 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $37.77 – $94.61 | 2 |