Endo outlet restrict w/tube cost in Missouri
Endo outlet restrict w/tube · HCPCS C9785
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $6,120.00 – $19,164.59 | 8 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $2,009.00 – $4,510.00 | 5 |
| SSM Health St. Clare Hospital - Fenton | Fenton | not published | $2,224.00 – $12,776.39 | 5 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $2,224.00 – $12,776.39 | 5 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $2,224.00 – $12,776.39 | 5 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $2,224.00 – $4,464.00 | 2 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $1,889.00 – $12,776.39 | 9 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $2,224.00 – $12,776.39 | 5 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $2,224.00 – $12,776.39 | 5 |