Optx palatal/max fracture cost in Missouri

OPTX PALATAL/MAX FRACTURE · CPT 21422

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $715.06 – $7,115.26 8
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $715.06 – $7,115.26 8
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $715.06 – $7,115.26 8
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $698.49 – $4,510.00 6
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $2,277.00 – $10,672.90 9
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $715.06 – $3,864.00 6
SSM Health Saint Louis University Hospital Saint Louis not published $821.06 – $7,115.26 9
SSM Health DePaul Hospital - St. Louis Bridgeton not published $715.06 – $7,115.26 8
SSM Health St. Clare Hospital - Fenton Fenton not published $715.06 – $7,115.26 8