Riboflavin 5'phos opth<=3ml cost in Missouri
Riboflavin 5'Phos opth<=3ml · HCPCS J2787
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $2,116.50 – $2,116.50 | 1 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $2,116.50 – $2,116.50 | 1 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $2,116.50 – $2,116.50 | 1 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $12.43 – $12.43 | 1 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $2,116.50 – $2,116.50 | 1 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $4,902.00 – $4,902.00 | 1 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $2,116.50 – $2,116.50 | 1 |
| SSM Health St. Clare Hospital - Fenton | Fenton | not published | $2,116.50 – $2,116.50 | 1 |