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 |
|---|---|---|---|---|
| Chromosome analys placenta CPT 88267 | $569.80 | $1,036.00 | $169.71 – $339.43 | 8 |
| Chromosome banding study CPT 88283 | not published | not published | $61.74 – $123.48 | 8 |
| Chromosome count additional CPT 88285 | not published | not published | $24.22 – $48.44 | 8 |
| Chromosome karyotype study CPT 88280 | $198.55 | $361.00 | $30.12 – $60.25 | 8 |
| Chromosome study additional CPT 88289 | not published | not published | $30.99 – $61.97 | 8 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $11.21 – $22.43 | 8 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $55.35 – $110.70 | 8 |
| Cidofovir injection HCPCS J0740 | not published | not published | $319.17 – $964.32 | 8 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,778.00 – $4,286.38 | 10 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $584,397.44 – $1,058,359.96 | 8 |
| Cine/video x-rays CPT 76120 | not published | not published | $94.65 – $188.49 | 8 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $54.20 – $54.20 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $694.58 – $2,277.00 | 10 |
| Circumcision (newborn) CPT 54150 | $4,790.28 | $8,709.60 | $1,325.00 – $3,768.77 | 10 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $265.10 | $482.00 | $296.56 – $593.12 | 8 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.14 – $14.74 | 8 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Claviculectomy total CPT 23125 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $537.23 – $2,277.00 | 9 |
| Clearance of airways CPT 31720 | not published | not published | $218.12 – $2,277.00 | 10 |
| Clearance of tear duct CPT 68530 | not published | not published | $316.17 – $2,277.00 | 9 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $90.21 – $239.87 | 8 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $44.90 – $239.87 | 8 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $71.85 – $239.87 | 8 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $37.21 – $67.34 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | $383.72 | $697.68 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $8.97 – $29.24 | 8 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,482.36 | $2,695.20 | $245.71 – $2,277.00 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,601.73 – $2,899.06 | 9 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $245.71 – $2,277.00 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,445.96 | $4,447.20 | $1,601.73 – $2,899.06 | 10 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $542.52 | $986.40 | $245.71 – $2,277.00 | 10 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $775.50 | $1,410.00 | $1,325.00 – $2,899.06 | 10 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $1,005.84 | $1,828.80 | $245.71 – $2,277.00 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,545.54 – $3,962.00 | 10 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $537.23 – $2,277.00 | 10 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,545.54 – $2,797.36 | 10 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,297.36 | $5,995.20 | $1,601.73 – $2,899.06 | 10 |
| Closed tx septal&nose fx CPT 21337 | $382.80 | $696.00 | $1,778.00 – $5,977.46 | 10 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $245.71 – $2,277.00 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $203.94 | $370.80 | $245.71 – $2,277.00 | 9 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $502.26 | $913.20 | $235.93 – $2,277.00 | 9 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,545.54 – $2,797.36 | 10 |
| Close median sternotomy separation 21750 CPT 21750 | $923.45 | $1,679.00 | $2,277.00 – $13,082.27 | 9 |
| Close tear duct opening CPT 68760 | not published | not published | $316.17 – $2,277.00 | 9 |
| Close tear duct opening CPT 68761 | not published | not published | $316.17 – $2,277.00 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $1,922.00 – $4,286.38 | 10 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $14.40 – $28.80 | 8 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,923.90 | $3,498.00 | $1,545.54 – $2,797.36 | 10 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $725.34 | $1,318.80 | $537.23 – $2,277.00 | 10 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $993.00 – $2,277.00 | 10 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Closure paravalvlr leak pq CPT 33999 | $438.90 | $798.00 | $624.86 – $2,277.00 | 9 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $17.04 – $34.07 | 8 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $18.38 – $36.76 | 8 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $17.04 – $34.07 | 8 |
| Clot factor xii hageman CPT 85280 | $261.25 | $475.00 | $17.42 – $34.83 | 8 |
| Clot factor xiii fibrin scrn CPT 85291 | $23.65 | $43.00 | $8.20 – $16.40 | 8 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $14.71 – $29.41 | 8 |
| Clotting assay whole blood CPT 85396 | not published | not published | $17.90 – $36.32 | 2 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $205.26 | $373.20 | $245.71 – $2,277.00 | 10 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $171.60 | $312.00 | $245.71 – $2,277.00 | 10 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $406.45 | $739.00 | $245.71 – $2,277.00 | 9 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $166.98 | $303.60 | $245.71 – $2,277.00 | 10 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $252.12 | $458.40 | $245.71 – $2,277.00 | 10 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $166.98 | $303.60 | $245.71 – $2,277.00 | 9 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $250.80 | $456.00 | $245.71 – $2,277.00 | 9 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $279.84 | $508.80 | $245.71 – $2,277.00 | 10 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $273.24 | $496.80 | $245.71 – $2,277.00 | 10 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $347.16 | $631.20 | $245.71 – $2,277.00 | 10 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $245.71 – $2,277.00 | 9 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $166.98 | $303.60 | $245.71 – $2,277.00 | 9 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $388.08 | $705.60 | $245.71 – $2,277.00 | 9 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $318.38 | $578.88 | $245.71 – $2,277.00 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,488.96 | $2,707.20 | $1,601.73 – $2,899.06 | 10 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $568.92 | $1,034.40 | $245.71 – $2,277.00 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,692.04 | $6,712.80 | $1,351.00 – $2,899.06 | 10 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $245.71 – $2,277.00 | 10 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $364.98 | $663.60 | $245.71 – $2,277.00 | 10 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $542.52 | $986.40 | $245.71 – $2,277.00 | 10 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $568.92 | $1,034.40 | $245.71 – $2,277.00 | 10 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,213.08 | $2,205.60 | $278.60 – $2,277.00 | 9 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $537.23 – $2,277.00 | 10 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $184.80 | $336.00 | $245.71 – $2,277.00 | 9 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $268.49 | $488.16 | $245.71 – $2,277.00 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $495.00 | $900.00 | $245.71 – $2,277.00 | 10 |
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.