Revita, per sq cm cost in Missouri

Revita, per sq cm · HCPCS Q4180

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $124.65 – $1,075.64 6
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $124.65 – $1,075.64 6
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $124.65 – $1,075.64 6
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $1,075.64 – $1,075.64 1
SSM Health Saint Louis University Hospital Saint Louis not published $122.15 – $1,217.11 7
SSM Health DePaul Hospital - St. Louis Bridgeton not published $124.65 – $1,075.64 6