Insert drug del implant, >=4 cost in Missouri

Insert drug del implant, >=4 · HCPCS G0516

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $115.09 – $2,004.00 6
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $115.09 – $2,004.00 6
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $115.09 – $2,004.00 6
SSM Health St. Clare Hospital - Fenton Fenton not published $115.09 – $2,004.00 6
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $112.43 – $4,510.00 6
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $201.52 – $805.40 8
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $115.09 – $2,004.00 4
SSM Health Saint Louis University Hospital Saint Louis not published $132.15 – $3,085.00 9
SSM Health DePaul Hospital - St. Louis Bridgeton not published $115.09 – $2,004.00 6