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 |
|---|---|---|---|---|
| Warde erythropoietin CPT 82668 | $195.25 | $355.00 | $16.91 – $33.82 | 8 |
| Warde estrogen fractionated CPT 82671 | $216.70 | $394.00 | $19.67 – $58.14 | 8 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $22.00 | $40.00 | $10.88 – $21.76 | 8 |
| Warde folic acid rbc CPT 82747 | $153.45 | $279.00 | $15.89 – $31.77 | 8 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $278.30 | $506.00 | $8.73 – $17.46 | 8 |
| Warde gastrin CPT 82941 | $306.90 | $558.00 | $15.87 – $31.73 | 8 |
| Warde growth hormone (hgh) CPT 83003 | $78.65 | $143.00 | $15.00 – $30.01 | 8 |
| Warde haloperidol therapeutic drug level CPT 80173 | $129.80 | $236.00 | $14.20 – $28.40 | 8 |
| Warde helminth antibody strongyloides igg CPT 86682 | $101.20 | $184.00 | $11.71 – $23.42 | 8 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $62.15 | $113.00 | $11.58 – $23.17 | 8 |
| Warde hepatitis a antibody CPT 86708 | $63.80 | $116.00 | $11.15 – $22.30 | 8 |
| Warde hepatitis be antibody CPT 86707 | $68.75 | $125.00 | $10.41 – $20.83 | 8 |
| Warde hepatitis delta agent antibody CPT 86692 | $124.85 | $227.00 | $15.44 – $30.89 | 8 |
| Warde immunofixation electrophoresis urine CPT 86335 | $106.70 | $194.00 | $26.42 – $52.83 | 8 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $95.15 | $173.00 | $10.38 – $20.75 | 8 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,192.40 | $2,168.00 | $231.71 – $463.41 | 8 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $233.20 | $424.00 | $21.21 – $42.43 | 8 |
| Warde lipoprotein (a) CPT 83695 | $165.00 | $300.00 | $12.89 – $25.78 | 8 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | not published | not published | $41.68 – $83.36 | 8 |
| Warde mitochondrial antibody each CPT 86381 | $44.55 | $81.00 | $22.91 – $45.81 | 8 |
| Warde neutralization rabies CPT 86382 | $80.30 | $146.00 | $15.22 – $30.44 | 8 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $144.10 | $262.00 | $11.93 – $23.85 | 8 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $25.30 | $46.00 | $20.67 – $41.35 | 8 |
| Warde protein c antigen CPT 85302 | $217.25 | $395.00 | $10.81 – $21.62 | 8 |
| Warde sex hormone binding globulin CPT 84270 | $69.30 | $126.00 | $19.56 – $39.11 | 8 |
| Warde somatomedin CPT 84305 | $149.05 | $271.00 | $19.13 – $38.27 | 8 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $37.40 | $68.00 | $4.95 – $9.90 | 8 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $250.80 | $456.00 | $14.18 – $28.37 | 8 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $1,102.75 | $2,005.00 | $45.77 – $91.55 | 8 |
| Warde topiramate therapeutic drug level CPT 80201 | $133.10 | $242.00 | $10.73 – $21.46 | 8 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $258.50 | $470.00 | $23.46 – $46.93 | 8 |
| Warde viscosity CPT 85810 | $79.20 | $144.00 | $10.50 – $21.01 | 8 |
| Warde vitamin a CPT 84590 | $92.95 | $169.00 | $10.45 – $20.90 | 8 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $123.75 | $225.00 | $19.11 – $38.21 | 8 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $79.75 | $145.00 | $25.29 – $50.58 | 8 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $68.75 | $125.00 | $8.90 – $17.80 | 8 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $264.00 | $480.00 | $34.65 – $69.30 | 8 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $114.40 | $208.00 | $12.76 – $25.52 | 8 |
| Warde zinc CPT 84630 | $107.80 | $196.00 | $10.25 – $20.50 | 8 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $108.65 – $315.00 | 2 |
| Wash harvest stem cells CPT 38209 | not published | not published | $439.46 – $2,277.00 | 10 |
| Wbc automated CPT 85048 | $33.00 | $60.00 | $2.29 – $4.57 | 8 |
| Wcd device interrogate CPT 93292 | not published | not published | $18.79 – $67.29 | 8 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $2,277.00 – $13,369.33 | 9 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Wedging of cast CPT 29740 | not published | not published | $278.60 – $2,277.00 | 9 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $278.60 – $2,277.00 | 9 |
| Western blot test CPT 84181 | not published | not published | $15.33 – $30.65 | 8 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $11.14 – $33.37 | 8 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $70.35 – $341.71 | 8 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $475.75 | $865.00 | not published | 0 |
| Whole body photography CPT 96904 | not published | not published | $117.74 – $117.74 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,158.30 – $2,316.60 | 8 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $842.40 – $1,684.80 | 8 |
| Wilate injection HCPCS J7183 | not published | not published | $1.32 – $2.39 | 8 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $932.14 | $1,694.80 | $1,351.00 – $2,277.00 | 2 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $48.64 – $1,351.00 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $123.96 – $224.36 | 8 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $513.48 | $933.60 | $42.47 – $732.91 | 8 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $842.16 | $1,531.20 | $47.69 – $732.91 | 8 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $237.60 | $432.00 | $48.50 – $361.72 | 8 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $2,218.15 | $4,033.00 | $54.16 – $732.91 | 8 |
| Wrist arthroscopy CPT 29840 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,601.73 – $7,852.00 | 10 |
| Wrist X-ray CPT 73110 | $246.95 | $449.00 | $49.59 – $156.90 | 8 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $2,277.00 – $7,452.17 | 10 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $2,277.00 – $9,593.81 | 10 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $2,277.00 – $7,452.17 | 10 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $2,277.00 – $9,593.81 | 10 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $3,554.04 | $6,461.90 | $1,778.00 – $3,719.90 | 10 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $736.45 | $1,339.00 | $2,034.00 – $3,719.90 | 10 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $822.60 – $1,645.20 | 8 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $822.60 – $1,645.20 | 8 |
| Xm archive tissue molec anal CPT 88363 | $82.50 | $150.00 | $22.20 – $52.15 | 8 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| X-ray abdomen 1 view CPT 74018 | $187.00 | $340.00 | $30.17 – $156.90 | 8 |
| X-ray abdomen 2 views CPT 74019 | $315.70 | $574.00 | $36.07 – $188.49 | 8 |
| X-ray abdomen >=3 views CPT 74021 | not published | not published | $41.95 – $188.49 | 8 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $347.60 | $632.00 | $56.17 – $188.49 | 8 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $363.66 | $661.20 | $50.14 – $156.90 | 8 |
| X-ray ankle 2 views (both sides) CPT 73600 | $225.50 | $410.00 | $35.29 – $156.90 | 8 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $588.06 | $1,069.20 | $133.13 – $628.99 | 8 |
| X-ray assay calculus CPT 82370 | not published | not published | $11.27 – $22.54 | 8 |
| X-ray bone age studies CPT 77072 | $610.50 | $1,110.00 | $23.75 – $188.49 | 8 |
| X-ray bone length studies CPT 77073 | $316.80 | $576.00 | $40.23 – $188.49 | 8 |
| X-ray bone survey complete CPT 77075 | $517.44 | $940.80 | $104.14 – $188.49 | 8 |
| X-ray bone survey infant CPT 77076 | $695.64 | $1,264.80 | $104.14 – $188.49 | 8 |
| X-ray cervical spine 2-3 views CPT 72040 | $238.15 | $433.00 | $40.78 – $156.90 | 8 |
| X-ray cervical spine 4-5 views CPT 72050 | $411.95 | $749.00 | $55.07 – $188.49 | 8 |
| X-ray cervical spine >= 6 views CPT 72052 | $463.65 | $843.00 | $74.32 – $188.49 | 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.