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 |
|---|---|---|---|---|
| Cell function assay w/stim CPT 86352 | $268.95 | $489.00 | $122.27 – $244.55 | 8 |
| Cell marker study CPT 88182 | not published | not published | $44.78 – $93.95 | 8 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $29.50 – $53.40 | 9 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $5,087.05 – $5,087.05 | 1 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,325.00 – $5,836.23 | 10 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $427.41 – $978.92 | 8 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.43 – $6.20 | 8 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $2,277.00 – $11,971.60 | 9 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $48.64 – $183.16 | 8 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $81.22 – $147.00 | 8 |
| #cf-97variants CPT 81220 | $1,970.65 | $3,583.00 | $500.94 – $1,001.88 | 8 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $391.56 – $783.13 | 8 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $151.88 – $303.75 | 8 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $87.50 – $175.00 | 8 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $694.58 – $2,277.00 | 10 |
| Change cystostomy tube simple CPT 51705 | $250.80 | $456.00 | $248.88 – $2,277.00 | 10 |
| Change gastric port open CPT 43888 | not published | not published | $1,778.00 – $6,389.00 | 10 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Change nephroureteral cath CPT 50387 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $1,325.00 – $3,768.77 | 10 |
| Change of windpipe airway 31502 CPT 31502 | $324.72 | $590.40 | $235.93 – $2,277.00 | 10 |
| Change stent via transureth CPT 50385 | not published | not published | $2,082.24 – $3,768.77 | 10 |
| Change ureter stent percut CPT 50382 | $3,215.52 | $5,846.40 | $1,778.00 – $3,768.77 | 10 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $120.11 – $307.16 | 8 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $199.85 – $2,277.00 | 9 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $404.93 – $2,277.00 | 9 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $404.93 – $2,277.00 | 9 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $736.19 – $2,277.00 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $837.54 | $1,522.80 | $142.36 – $595.51 | 8 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $703.13 – $2,277.00 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $703.13 – $2,277.00 | 9 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $703.13 – $2,277.00 | 9 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $305.76 – $2,277.00 | 10 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $316.17 – $2,277.00 | 10 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $305.76 – $2,277.00 | 10 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $305.76 – $2,277.00 | 10 |
| Chemodenerv musc migraine 64615 CPT 64615 | $114.27 | $207.77 | $305.76 – $2,277.00 | 9 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $305.76 – $2,277.00 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $499.51 | $908.20 | $305.76 – $2,277.00 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $703.13 – $2,277.00 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $1,952.28 | $3,549.60 | $703.13 – $2,277.00 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $254.97 – $595.51 | 8 |
| Chemo ia infuse each addl hr CPT 96423 | $184.14 | $334.80 | $46.64 – $84.42 | 8 |
| Chemo ia infusion up to 1 hr CPT 96422 | $373.56 | $679.20 | $281.19 – $595.51 | 8 |
| Chemo ia push tecnique CPT 96420 | $135.30 | $246.00 | $176.21 – $595.51 | 8 |
| Chemo intralesional over 7 CPT 96406 | $90.42 | $164.40 | $81.25 – $383.48 | 8 |
| Chemo intralesional up to 7 96405 CPT 96405 | $77.88 | $141.60 | $53.71 – $129.81 | 8 |
| Chemotaxis assay CPT 86155 | not published | not published | $14.39 – $28.78 | 8 |
| Chemotherapy injection 96542 CPT 96542 | $77.88 | $141.60 | $73.62 – $595.51 | 8 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $38.97 – $595.51 | 8 |
| Chest 2 vws w oblique CPT 71048 | $348.87 | $634.31 | $42.56 – $188.49 | 8 |
| Chest apical lordotic proj CPT 71047 | $317.60 | $577.46 | $41.37 – $156.90 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,302.84 | $2,368.80 | $174.72 – $316.23 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $1,058.64 | $1,924.80 | $174.72 – $316.23 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $895.62 | $1,628.40 | $104.14 – $188.49 | 8 |
| Chest X-ray CPT 71046 | $278.97 | $507.22 | $32.52 – $156.90 | 8 |
| Chest X-ray (single view) CPT 71045 | $263.64 | $479.35 | $17.79 – $156.90 | 8 |
| Chg pr pul rehab for copd patients CPT 94626 | $307.56 | $559.20 | $49.61 – $106.36 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $121.57 – $316.23 | 8 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $186.71 – $373.43 | 8 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $234.71 – $469.42 | 8 |
| Chlamydia culture CPT 87110 | $79.20 | $144.00 | $17.64 – $35.28 | 8 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $10.78 – $21.56 | 8 |
| Chlamydia type CPT 87140 | $24.20 | $44.00 | $5.01 – $10.03 | 8 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $69.86 – $69.86 | 1 |
| Chloride CPT 82435 | $27.50 | $50.00 | $4.14 – $8.28 | 8 |
| Chloride 24 hour urine CPT 82436 | $40.70 | $74.00 | $5.18 – $10.35 | 8 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.65 – $0.65 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $90.42 | $164.40 | $253.61 – $595.51 | 8 |
| Cholangiogram percutaneous compl CPT 47532 | $3,333.00 | $6,060.00 | $2,277.00 – $6,455.13 | 10 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $701.25 | $1,275.00 | $55.91 – $55.91 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,112.01 | $5,658.20 | $2,277.00 – $6,455.13 | 9 |
| Cholesterol CPT 82465 | $26.95 | $49.00 | $3.92 – $7.83 | 8 |
| Cholesterol body fluid CPT 84999 | $962.50 | $1,750.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $69.85 | $127.00 | $12.05 – $24.10 | 8 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,186.72 – $4,529.57 | 8 |
| Cholinesterase CPT 82480 | $110.00 | $200.00 | $7.08 – $14.17 | 8 |
| Cholinesterase challenge CPT 95857 | $85.45 | $155.37 | $52.81 – $389.29 | 8 |
| Chorion biopsy CPT 59015 | not published | not published | $917.46 – $2,277.00 | 9 |
| Chrom analysis CPT 88273 | not published | not published | $31.33 – $62.66 | 8 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $35.10 – $70.20 | 8 |
| Chromatography CPT 83021 | $144.10 | $262.00 | $16.25 – $32.51 | 8 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.70 – $21.40 | 8 |
| Chromo high res and frag x - sendout CPT 81243 | $94.05 | $171.00 | $51.34 – $102.67 | 8 |
| Chromosome analys amniotic CPT 88269 | $551.65 | $1,003.00 | $156.29 – $312.59 | 8 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $155.85 – $311.71 | 8 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,870.55 | $3,401.00 | $112.94 – $225.88 | 8 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $155.85 – $311.71 | 8 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $135.26 – $270.52 | 8 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $237.91 – $475.81 | 8 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $155.85 – $311.71 | 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.