One-way allow prorated trip cost in Missouri

One-way allow prorated trip · HCPCS P9604

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $3.57 – $11.52 2
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $3.57 – $11.52 2
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $3.57 – $11.52 2
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $3.57 – $11.52 2
SSM Health Saint Louis University Hospital Saint Louis not published $4.10 – $5.97 2
SSM Health DePaul Hospital - St. Louis Bridgeton not published $3.57 – $11.52 2