Splt agrft f/s/n/h/f/g/m ea cost in Missouri
SPLT AGRFT F/S/N/H/F/G/M EA · CPT 15121
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $141.63 – $3,886.00 | 6 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $141.63 – $3,886.00 | 6 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $141.63 – $3,886.00 | 6 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $138.35 – $3,886.00 | 5 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $1,351.00 – $2,277.00 | 2 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $141.63 – $3,886.00 | 6 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $162.62 – $3,886.00 | 5 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $141.63 – $3,886.00 | 6 |
| SSM Health St. Clare Hospital - Fenton | Fenton | not published | $141.63 – $3,886.00 | 6 |