Intraoral periapical first cost in Missouri

Intraoral periapical first · HCPCS D0220

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $11.02 – $104.60 5
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $11.02 – $104.60 5
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $11.02 – $104.60 5
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $10.76 – $10.76 1
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $86.69 – $156.90 8
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $11.02 – $11.02 1
SSM Health Saint Louis University Hospital Saint Louis not published $12.65 – $104.60 6
SSM Health DePaul Hospital - St. Louis Bridgeton not published $11.02 – $104.60 5
SSM Health St. Clare Hospital - Fenton Fenton not published $11.02 – $104.60 5