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 |
|---|---|---|---|---|
| Unlisted laps px ureter CPT 50949 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted misc path test CPT 89240 | not published | not published | $44.78 – $93.95 | 8 |
| Unlisted mr procedure CPT 76498 | not published | not published | $86.69 – $156.90 | 8 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $398.21 – $720.75 | 8 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $128.17 – $231.99 | 8 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $398.21 – $720.75 | 8 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $28.81 – $52.15 | 8 |
| Unlisted orl service/px CPT 92700 | not published | not published | $28.81 – $52.15 | 8 |
| Unlisted procedure colon CPT 45399 | not published | not published | $926.34 – $2,857.00 | 10 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $903.45 – $2,277.00 | 9 |
| Unlisted procedure eyelids CPT 67999 | $700.15 | $1,273.00 | $316.17 – $2,277.00 | 9 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted procedure liver CPT 47399 | not published | not published | $705.37 – $2,277.00 | 9 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $316.17 – $2,277.00 | 9 |
| Unlisted procedure pancreas CPT 48999 | $729.41 | $1,326.20 | $705.37 – $2,277.00 | 9 |
| Unlisted procedure rectum CPT 45999 | $552.80 | $1,005.10 | $926.34 – $2,277.00 | 9 |
| Unlisted procedure spine CPT 22899 | not published | not published | $245.71 – $2,277.00 | 9 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Unlisted px abdomen muscskel CPT 22999 | $395.01 | $718.20 | $245.71 – $2,277.00 | 9 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted px ant segment eye CPT 66999 | $693.00 | $1,260.00 | $2,277.00 – $4,160.79 | 9 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $245.71 – $2,277.00 | 9 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $903.45 – $2,277.00 | 9 |
| Unlisted px casting/strpg CPT 29799 | $95.04 | $172.80 | $161.87 – $2,277.00 | 9 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $316.17 – $2,277.00 | 9 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $705.37 – $2,277.00 | 9 |
| Unlisted px external ear CPT 69399 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $316.17 – $2,277.00 | 9 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $245.71 – $2,277.00 | 9 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $245.71 – $2,277.00 | 9 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $245.71 – $2,277.00 | 9 |
| Unlisted px inner ear CPT 69949 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $316.17 – $2,277.00 | 9 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $245.71 – $2,277.00 | 9 |
| Unlisted px male genital sys CPT 55899 | $216.32 | $393.30 | $248.88 – $2,277.00 | 9 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Unlisted px med radj physics CPT 77399 | $252.75 | $459.55 | not published | 0 |
| Unlisted px middle ear CPT 69799 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $245.71 – $2,277.00 | 9 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,277.00 – $4,160.79 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | $514.14 | $934.80 | $235.93 – $2,277.00 | 9 |
| Unlisted px small intestine CPT 44799 | $2,931.22 | $5,329.50 | $903.45 – $2,277.00 | 9 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted px tongue flr mouth CPT 41599 | $241.92 | $439.85 | $235.93 – $2,277.00 | 9 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $235.93 – $2,277.00 | 9 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $44.78 – $93.95 | 8 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $398.21 – $720.75 | 8 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $199.85 – $361.72 | 8 |
| Unlisted surgical path px CPT 88399 | not published | not published | $44.78 – $93.95 | 8 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $22.20 – $52.15 | 8 |
| Unlisted ultrasound procedure CPT 76999 | $354.96 | $645.38 | $86.69 – $156.90 | 8 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $624.86 – $2,277.00 | 9 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $398.21 – $720.75 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,653.96 | $3,007.20 | not published | 0 |
| Upgrade pm system CPT 33214 | $12,395.79 | $22,537.80 | $2,277.00 – $18,843.97 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,552.32 | $2,822.40 | $347.51 – $628.99 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,304.16 | $2,371.20 | $347.51 – $628.99 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,180.08 | $2,145.60 | $237.67 – $430.18 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $903.45 – $1,647.00 | 10 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $903.45 – $1,778.00 | 10 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $903.45 – $2,277.00 | 10 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Urea nitrogen CPT 84520 | $24.20 | $44.00 | $3.56 – $7.11 | 8 |
| Urea nitrogen 24 hour urine CPT 84540 | $33.55 | $61.00 | $5.00 – $10.01 | 8 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.48 – $12.96 | 8 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.62 – $9.23 | 8 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Ureteral reflux study CPT 78740 | $349.14 | $634.80 | $341.12 – $720.75 | 8 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $527.34 | $958.80 | $100.48 – $430.18 | 8 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,277.00 – $6,355.21 | 9 |
| Urethrocystography void s&i CPT 74455 | $671.22 | $1,220.40 | $114.99 – $430.18 | 8 |
| Uric acid blood CPT 84550 | $28.05 | $51.00 | $4.07 – $8.14 | 8 |
| Uric acid urine CPT 84560 | $78.65 | $143.00 | $4.57 – $9.14 | 8 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.23 – $8.46 | 8 |
| Urinalysis microscopic only CPT 81015 | $24.20 | $44.00 | $2.75 – $5.49 | 8 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.95 – $3.91 | 8 |
| Urinalysis (with microscopy) CPT 81001 | $39.05 | $71.00 | $2.85 – $5.71 | 8 |
| Urinalysis (without microscopy) CPT 81003 | $46.20 | $84.00 | $2.03 – $4.05 | 8 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $98.51 – $98.51 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $58.76 – $2,277.00 | 9 |
| Urine Culture Test CPT 87086 | $40.15 | $73.00 | $7.26 – $14.53 | 8 |
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.