Phenylep ketorolac opth soln cost in Missouri

Phenylep ketorolac opth soln · HCPCS J1097

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $96.31 – $115.57 5
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $96.31 – $115.57 5
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $96.31 – $115.57 5
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $119.28 – $119.28 1
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $120.36 – $120.36 1
SSM Health Saint Louis University Hospital Saint Louis not published $94.38 – $115.57 6
SSM Health DePaul Hospital - St. Louis Bridgeton not published $96.31 – $115.57 5
SSM Health St. Clare Hospital - Fenton Fenton not published $96.31 – $115.57 5