Membrane amniotic barrier 4x4cm-q4163-cost per sq cm cost in Missouri
MEMBRANE AMNIOTIC BARRIER 4X4CM-Q4163-COST PER SQ CM · HCPCS Q4163
$1,039.86
lowest in Missouri
$1,039.86
state median
$1,039.86
highest in Missouri
$607.31
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,039.86 | $124.65 – $295.11 | 6 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,039.86 | $153.43 – $295.11 | 2 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $1,039.86 | $124.65 – $295.11 | 6 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,039.86 | $124.65 – $295.11 | 6 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,039.86 | $124.65 – $295.11 | 6 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,039.86 | $124.65 – $295.11 | 6 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $149.87 – $337.95 | 2 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $123.96 – $224.36 | 8 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $122.15 – $337.95 | 7 |