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 |
|---|---|---|---|---|
| Urine flow measurement 51736 CPT 51736 | not published | not published | $132.53 – $2,277.00 | 9 |
| Urine pregnancy test CPT 81025 | $47.30 | $86.00 | $7.75 – $15.50 | 8 |
| Urine screen for bacteria CPT 81007 | not published | not published | $6.70 – $53.96 | 8 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.70 – $5.70 | 2 |
| Urography, antegrade CPT 74425 | $591.36 | $1,075.20 | $90.02 – $628.99 | 8 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $147.41 – $316.23 | 8 |
| Use 1st target lesion CPT 76982 | not published | not published | $104.14 – $188.49 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.29 – $20.44 | 8 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $165.23 – $165.23 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,788.68 – $23,146.94 | 8 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $171.35 – $171.35 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $155.88 – $155.88 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $165.25 – $165.25 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $93.05 – $93.05 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $69.48 – $69.48 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $79.66 – $79.66 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $74.60 – $74.60 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $178.40 – $178.40 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $32.62 – $32.62 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $268.62 | $488.40 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $88.50 – $88.50 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $88.50 – $88.50 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $23.17 – $23.17 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $24.75 | $45.00 | $23.69 – $23.69 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $42.90 | $78.00 | not published | 0 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $32.21 – $32.21 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $39.06 – $39.06 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.59 – $11.59 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $203.28 | $369.60 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $225.06 | $409.20 | $141.48 – $141.48 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $273.47 – $273.47 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $268.77 – $268.77 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $381.48 | $693.60 | $315.92 – $315.92 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $330.15 – $597.56 | 8 |
| Vaccine tdap >=7 years im CPT 90715 | $63.36 | $115.20 | not published | 0 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 8 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $570.48 – $1,032.53 | 8 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $223.88 – $405.22 | 8 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,090.06 – $9,212.78 | 8 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $2,277.00 – $9,018.95 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $2,277.00 – $13,369.33 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $2,277.00 – $9,018.95 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Vaginal bx CPT 58999 | $37.62 | $68.40 | $201.38 – $2,277.00 | 9 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $75.90 | $138.00 | $12.19 – $24.37 | 8 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,240.19 – $2,244.68 | 8 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $2,437.01 – $13,080.00 | 9 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $2,521.61 – $20,813.09 | 9 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,974.66 – $20,813.09 | 9 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $123.20 | $224.00 | $12.19 – $24.37 | 8 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $31.58 – $63.16 | 8 |
| Varicella zoster antibody igg CPT 86787 | $117.70 | $214.00 | $11.59 – $23.18 | 8 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,387.42 – $4,495.92 | 8 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $6,198.00 – $33,050.22 | 8 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Vasectomy CPT 55250 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.50 – $38.92 | 8 |
| Veeg cont 2-12 hrs CPT 95713 | $913.83 | $1,661.51 | $371.70 – $672.77 | 8 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $855.40 – $1,548.23 | 8 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $499.14 | $907.53 | $371.70 – $672.77 | 8 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $344.67 – $672.77 | 8 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $215.08 – $389.29 | 8 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $165.01 – $5,692.64 | 8 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $197.98 – $10,733.33 | 2 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $331.01 – $1,130.97 | 8 |
| Vein x-ray kidney CPT 75831 | not published | not published | $166.66 – $5,692.64 | 8 |
| Vein x-ray liver CPT 75891 | not published | not published | $167.21 – $5,692.64 | 8 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $166.66 – $5,692.64 | 8 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $167.76 – $5,692.64 | 8 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $165.56 – $5,692.64 | 8 |
| Vein x-ray skull CPT 75870 | not published | not published | $164.46 – $5,692.64 | 8 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $164.46 – $1,130.97 | 8 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $866.81 – $5,692.64 | 8 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $390.68 – $707.12 | 8 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $78.90 – $231.99 | 8 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $78.90 – $231.99 | 8 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $118.35 – $389.29 | 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.