Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm cost in Missouri

MEMBRANE PLACENTA TISS ENVERSE SHEET 2X3CM-COST PER SQ CM · HCPCS Q4258

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $61.75 – $149.57 6
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $61.75 – $149.57 6
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $61.75 – $149.57 6
SSM Health St. Clare Hospital - Fenton Fenton not published $61.75 – $149.57 6
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $60.32 – $166.48 2
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $99.55 – $224.36 8
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $61.75 – $128.89 2
SSM Health Saint Louis University Hospital Saint Louis not published $70.90 – $166.48 7
SSM Health DePaul Hospital - St. Louis Bridgeton not published $61.75 – $149.57 6