Exc isch pr ulc prm sut ostc cost in Missouri

EXC ISCH PR ULC PRM SUT OSTC · CPT 15941

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $2,034.00 – $5,236.93 10
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $930.36 – $4,510.00 7
SSM Health St. Clare Hospital - Fenton Fenton not published $952.43 – $3,491.29 8
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $952.43 – $3,491.29 8
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $952.43 – $3,491.29 8
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $952.43 – $3,886.00 7
SSM Health Saint Louis University Hospital Saint Louis not published $1,093.62 – $3,491.29 9
SSM Health DePaul Hospital - St. Louis Bridgeton not published $952.43 – $3,491.29 8
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $952.43 – $3,491.29 8