Drug/substance nos 4-6 cost in Missouri

DRUG/SUBSTANCE NOS 4-6 · CPT 80376

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $24.66 – $71.48 3
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $24.66 – $71.48 3
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $24.66 – $71.48 3
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $24.08 – $24.08 1
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $42.47 – $42.47 1
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $24.66 – $71.48 3
SSM Health Saint Louis University Hospital Saint Louis not published $28.31 – $40.59 3
SSM Health DePaul Hospital - St. Louis Bridgeton not published $24.66 – $71.48 3
SSM Health St. Clare Hospital - Fenton Fenton not published $24.66 – $71.48 3