Foam drg >16<=48 sq in without b cost in Missouri

Foam drg >16<=48 sq in w/o b · HCPCS A6210

Hospital City Cash price Negotiated range Payers
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $16.92 – $16.92 1
SSM Health Saint Louis University Hospital Saint Louis not published $19.89 – $19.89 1