Mnl prep&insj i-artic rx dev cost in Missouri

MNL PREP&INSJ I-ARTIC RX DEV · CPT 20704

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $125.23 – $2,167.00 4
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $125.23 – $2,167.00 4
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $125.23 – $2,167.00 4
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $122.33 – $1,486.00 3
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $1,351.00 – $2,277.00 2
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $125.23 – $2,167.00 4
SSM Health Saint Louis University Hospital Saint Louis not published $143.80 – $3,085.00 4
SSM Health DePaul Hospital - St. Louis Bridgeton not published $125.23 – $2,167.00 4
SSM Health St. Clare Hospital - Fenton Fenton not published $125.23 – $2,167.00 4