SSM Health St. Mary's Hospital - Jefferson City
2505 Mission Drive, Jefferson City, MO · SSM Health · · NPI 1518065523
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $470.80 | $856.00 | $26.35 – $52.70 | 8 |
| 17-hydroxypregnenolone CPT 84143 | $77.00 | $140.00 | $20.53 – $41.06 | 8 |
| 17-ketosteroids CPT 83586 | $27.50 | $50.00 | $11.52 – $23.04 | 8 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $132.62 – $240.03 | 8 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $32.33 – $64.66 | 8 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $51.24 – $239.87 | 8 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $780.87 – $1,413.34 | 8 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $780.87 – $1,413.34 | 8 |
| 2nd order venous cath CPT 36012 | $272.74 | $495.90 | $1,351.00 – $2,277.00 | 2 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $128.17 – $231.99 | 8 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $128.17 – $231.99 | 8 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $45.64 – $45.64 | 1 |
| 3-d radiotherapy plan CPT 77295 | $3,723.75 | $6,770.46 | $354.43 – $2,495.46 | 8 |
| 3d recon without postprocess indpndt CPT 76376 | $968.88 | $1,761.60 | $82.01 – $82.01 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $156.20 | $284.00 | $10.04 – $20.07 | 8 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $143.00 | $260.00 | $17.27 – $44.08 | 2 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $45.61 – $82.55 | 8 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $19.80 | $36.00 | $10.81 – $21.62 | 8 |
| Abd aorta w/runoff s&i CPT 75630 | $4,666.86 | $8,485.20 | $164.46 – $5,692.64 | 8 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Abd/low ext cath 1st CPT 36245 | $2,533.74 | $4,606.80 | $1,351.00 – $2,277.00 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $2,608.32 | $4,742.40 | $1,351.00 – $2,277.00 | 2 |
| Abd/low ext cath 3rd CPT 36247 | $2,086.26 | $3,793.20 | $1,351.00 – $2,277.00 | 2 |
| Abd/low ext cath addl CPT 36248 | $432.96 | $787.20 | $1,351.00 – $2,277.00 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,302.84 | $2,368.80 | $174.72 – $316.23 | 8 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,058.64 | $1,924.80 | $174.72 – $316.23 | 8 |
| Abdominal CT scan (without contrast) CPT 74150 | $895.62 | $1,628.40 | $104.14 – $188.49 | 8 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,552.32 | $2,822.40 | $347.51 – $628.99 | 8 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $347.51 – $628.99 | 8 |
| Abdominal MRI (without contrast) CPT 74181 | $1,180.08 | $2,145.60 | $237.67 – $430.18 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,626.54 | $2,957.35 | $903.45 – $2,277.00 | 10 |
| Abdominal Ultrasound (complete) CPT 76700 | $711.71 | $1,294.02 | $104.14 – $188.49 | 8 |
| Abdominal Ultrasound (limited) CPT 76705 | $574.04 | $1,043.71 | $104.14 – $188.49 | 8 |
| Abdominoplasty 15830 CPT 15830 | $1,575.20 | $2,864.00 | $2,034.00 – $11,971.60 | 10 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,138.53 | $2,070.05 | $903.45 – $2,277.00 | 10 |
| Abl1 gene CPT 81170 | not published | not published | $270.00 – $540.00 | 8 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $754.82 – $7,666.00 | 3 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Ablate bone tumor(s) perq CPT 20982 | $15,200.46 | $27,637.20 | $2,277.00 – $31,611.83 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $6,913.20 | $12,569.45 | $1,072.12 – $14,062.06 | 9 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $2,277.00 – $19,164.59 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $2,409.51 | $4,380.92 | $128.17 – $231.99 | 8 |
| Ablation cryo abd perit om CPT 49999 | $3,825.74 | $6,955.90 | $903.45 – $2,277.00 | 9 |
| Ablation cryo adrenal tumor CPT 60699 | $3,983.54 | $7,242.80 | $2,277.00 – $10,899.52 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $245.71 – $2,277.00 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $6,301.87 | $11,457.95 | $2,277.00 – $19,164.59 | 10 |
| Ablation cryo retro lymph node CPT 38999 | $761.28 | $1,384.15 | $439.46 – $2,277.00 | 9 |
| Ablation cryo thigh/knee CPT 27599 | $126.44 | $229.90 | $245.71 – $2,277.00 | 9 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,588.44 – $19,164.59 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $507.35 | $922.45 | $305.76 – $2,277.00 | 9 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,645.17 – $2,977.67 | 9 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $2,277.00 – $17,067.14 | 10 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $2,277.00 – $23,786.56 | 9 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.90 – $16.10 | 8 |
| Abortion CPT 59850 | not published | not published | $1,778.00 – $3,233.00 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $303.54 – $2,277.00 | 10 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $199.85 – $2,277.00 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,687.22 | $4,885.85 | $1,645.17 – $5,340.00 | 10 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Acetaminophen level CPT 80143 | not published | not published | $16.78 – $33.55 | 8 |
| Acetone qualitative CPT 82009 | $54.45 | $99.00 | $4.07 – $8.14 | 8 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $10.85 – $21.69 | 8 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $11.06 – $22.12 | 8 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $161.71 – $672.77 | 8 |
| Acne surgery 10040 CPT 10040 | not published | not published | $199.85 – $2,277.00 | 9 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $168.30 – $304.61 | 8 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $132.56 – $239.92 | 8 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $101.19 – $183.16 | 8 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $176.80 – $320.01 | 8 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $132.62 – $240.03 | 8 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $16.69 – $67.55 | 8 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $11.77 – $21.31 | 8 |
| Acoustic immitance testing CPT 92570 | not published | not published | $53.44 – $231.99 | 8 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $27.64 – $67.34 | 8 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Actigraphy testing CPT 95803 | not published | not published | $58.76 – $106.36 | 8 |
| Actinotherapy uv light CPT 96900 | not published | not published | $35.84 – $67.34 | 8 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $28.81 – $52.15 | 8 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $28.81 – $52.15 | 8 |
| Acute hepatitis panel CPT 80074 | $211.20 | $384.00 | $42.87 – $85.73 | 8 |
| Acute venous thrombus image CPT 78456 | not published | not published | $514.26 – $2,334.13 | 8 |
| #acylcarnitineprfl CPT 82017 | $210.65 | $383.00 | $15.18 – $30.37 | 8 |
| Acylcarnitines qual CPT 82016 | not published | not published | $14.84 – $29.68 | 8 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $55.79 – $320.01 | 8 |
| Adding walker to prev cast CPT 29440 | not published | not published | $161.87 – $2,277.00 | 9 |
| Adenovirus ag ia CPT 87301 | $40.70 | $74.00 | $10.78 – $21.56 | 8 |
| Adenovirus antibody,serum - quest CPT 86603 | $98.45 | $179.00 | $11.58 – $23.17 | 8 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $19.58 – $39.17 | 8 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $2,277.00 – $3,480.00 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.