Infect ag phenotype na hiv-1 ea addl drg cost in Missouri
HC INFECT AG PHENOTYPE NA HIV-1 EA ADDL DRG · CPT 87904
$59.40
lowest in Missouri
$77.00
state median
$77.00
highest in Missouri
$77.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | $59.40 | $25.55 – $55.67 | 9 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $59.40 | $26.07 – $50.66 | 3 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $77.00 | $26.07 – $107.48 | 7 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $77.00 | $26.07 – $107.48 | 7 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $77.00 | $26.07 – $107.48 | 4 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $77.00 | $26.07 – $107.48 | 7 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $77.00 | $26.07 – $107.48 | 7 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $77.00 | $26.07 – $107.48 | 7 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $23.46 – $46.93 | 8 |