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 |
|---|---|---|---|---|
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $2,277.00 – $12,723.94 | 10 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $2,277.00 – $12,723.94 | 10 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $2,034.00 – $12,723.94 | 10 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $582.59 | $1,059.25 | $198.83 – $2,277.00 | 9 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.61 – $0.61 | 1 |
| Bundled special stain group 1 microorganisms CPT 88312 | $82.50 | $150.00 | $44.78 – $93.95 | 8 |
| Bundled special stain group 2 CPT 88313 | $64.35 | $117.00 | $30.46 – $239.87 | 8 |
| Bundle his recording CPT 93600 | not published | not published | $136.53 – $14,062.06 | 9 |
| Buprenorphine and metabolite - sendout CPT 80348 | $98.45 | $179.00 | $31.06 – $31.06 | 1 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $2,047.72 – $3,722.68 | 8 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $2,047.72 – $3,722.68 | 8 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Burr hole skull for biopsy 61140 CPT 61140 | $2,539.87 | $4,617.95 | $2,277.00 – $3,233.00 | 2 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Bur rotalink 2.15mm HCPCS C1724 | $1,766.66 | $3,212.10 | not published | 0 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.03 – $1.86 | 8 |
| Buttock fasciotomy CPT 27027 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,601.73 – $5,340.00 | 10 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $5,214.00 | $9,480.00 | $1,325.00 – $2,977.67 | 10 |
| Bx bone trocar/ndl deep CPT 20225 | $3,991.68 | $7,257.60 | $1,645.17 – $2,977.67 | 10 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,626.54 | $2,957.35 | $1,645.17 – $2,977.67 | 10 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,687.22 | $4,885.85 | $1,645.17 – $2,977.67 | 10 |
| Bx breast add lesion mr imag CPT 19086 | $1,060.68 | $1,928.50 | $1,351.00 – $2,277.00 | 2 |
| Bx breast add lesion strtctc CPT 19082 | $990.14 | $1,800.25 | $1,351.00 – $2,277.00 | 2 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,343.87 | $2,443.40 | $1,351.00 – $2,277.00 | 2 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $2,277.00 – $7,059.16 | 9 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $303.54 – $2,277.00 | 10 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $2,277.00 – $10,305.00 | 3 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $1,778.00 – $7,059.16 | 10 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $1,778.00 – $7,059.16 | 10 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $2,277.00 – $10,305.00 | 3 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $1,778.00 – $5,236.93 | 10 |
| Bx liver with other CPT 47001 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Bx muscle CPT 20200 | not published | not published | $1,645.17 – $2,977.67 | 10 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Bx of breast open 19101 CPT 19101 | $6,761.04 | $12,292.80 | $1,778.00 – $7,059.16 | 10 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Bx pancreas pq ndl CPT 48102 | $530.34 | $964.25 | $1,325.00 – $2,977.67 | 10 |
| Bx perianal mass CPT 46999 | $285.28 | $518.70 | $926.34 – $2,277.00 | 9 |
| Bx pleura pq ndl CPT 32400 | $473.91 | $861.65 | $1,325.00 – $2,977.67 | 10 |
| Bx prostate trnsrctl u/s guid CPT 55707 | not published | not published | $3,511.25 – $6,355.21 | 8 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $1,778.00 – $5,236.93 | 10 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $109.56 | $199.20 | $1,351.00 – $2,277.00 | 2 |
| Bx skin punch ea sep/ addl les CPT 11105 | $93.72 | $170.40 | $1,351.00 – $2,277.00 | 2 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $77.88 | $141.60 | $1,351.00 – $2,277.00 | 2 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,645.17 – $2,977.67 | 10 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,645.17 – $2,977.67 | 10 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $764.28 | $1,389.60 | $1,325.00 – $2,977.67 | 10 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,768.80 | $3,216.00 | $705.37 – $2,277.00 | 10 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $917.46 – $2,277.00 | 10 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,894.20 | $3,444.00 | $917.46 – $2,277.00 | 10 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Bypass temp external fem-fem CPT 37799 | $858.00 | $1,560.00 | $624.86 – $13,080.00 | 9 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $76.81 – $142.67 | 8 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $66.39 – $120.16 | 8 |
| C1 esterase inhibitor func - sendout CPT 86161 | $74.25 | $135.00 | $10.80 – $21.60 | 8 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $232.44 – $420.71 | 8 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $24.53 – $44.40 | 8 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $761.64 – $1,523.29 | 8 |
| Cad breast MRI w/r&i HCPCS C8937 | $1,133.22 | $2,060.40 | not published | 0 |
| Cadd pump refill CPT 96521 | $233.64 | $424.80 | $211.87 – $383.48 | 8 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $1,210.95 – $1,210.95 | 1 |
| Calcium 24 hour urine CPT 82340 | $51.70 | $94.00 | $5.43 – $10.85 | 8 |
| Calcium ionized CPT 82330 | $86.35 | $157.00 | $12.31 – $24.62 | 8 |
| Calcium total CPT 82310 | $33.55 | $61.00 | $4.64 – $9.29 | 8 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $11.58 – $23.17 | 8 |
| Calculus analysis qual CPT 82355 | not published | not published | $10.42 – $20.84 | 8 |
| Caloric vstblr test w/rec CPT 92538 | $291.02 | $529.13 | $7.56 – $389.29 | 8 |
| Calprotectin fecal CPT 83993 | $303.05 | $551.00 | $17.67 – $35.33 | 8 |
| Campylobacter antibody CPT 86625 | $82.50 | $150.00 | $11.81 – $23.62 | 8 |
| Canakinumab injection HCPCS J0638 | not published | not published | $144.03 – $281.77 | 8 |
| Candida dna CPT 87480 | $59.40 | $108.00 | $18.05 – $36.09 | 8 |
| Candida skin test CPT 86485 | not published | not published | $22.20 – $52.15 | 8 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $2,034.00 – $10,032.25 | 10 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $2,151.29 | $3,911.44 | not published | 0 |
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.