Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Missouri
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$900.18
lowest in Missouri
$900.18
state median
$900.18
highest in Missouri
$208.78
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $900.18 | $41.23 – $149.57 | 6 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $900.18 | $41.23 – $78.74 | 2 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $900.18 | $41.23 – $149.57 | 6 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $900.18 | $41.23 – $149.57 | 6 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $900.18 | $41.23 – $149.57 | 6 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $900.18 | $41.23 – $149.57 | 6 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $40.27 – $97.85 | 2 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $35.73 – $224.36 | 8 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $47.34 – $149.57 | 7 |