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 |
|---|---|---|---|---|
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $703.56 | $1,279.20 | $245.71 – $2,277.00 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $349.80 | $636.00 | $245.71 – $2,277.00 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $8,652.60 | $15,732.00 | $1,778.00 – $5,977.46 | 10 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $238.92 | $434.40 | $1,601.73 – $2,899.06 | 10 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $190.30 | $346.00 | $245.71 – $2,277.00 | 10 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $500.28 | $909.60 | $245.71 – $2,277.00 | 10 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $245.71 – $2,277.00 | 10 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $245.71 – $2,277.00 | 10 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $232.98 | $423.60 | $245.71 – $2,277.00 | 9 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $245.71 – $2,277.00 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $246.18 | $447.60 | $1,325.00 – $2,899.06 | 10 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $245.71 – $2,277.00 | 10 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $495.00 | $900.00 | $1,601.73 – $2,899.06 | 10 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $720.72 | $1,310.40 | $1,351.00 – $2,899.06 | 10 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,878.16 | $7,051.20 | $1,325.00 – $2,899.06 | 10 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $319.44 | $580.80 | $245.71 – $2,277.00 | 10 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $331.32 | $602.40 | $245.71 – $2,277.00 | 9 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $181.50 | $330.00 | $245.71 – $2,277.00 | 10 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $821.04 | $1,492.80 | $1,325.00 – $2,899.06 | 10 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $245.71 – $2,277.00 | 9 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $245.71 – $2,277.00 | 10 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $245.71 – $2,277.00 | 9 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $245.71 – $2,277.00 | 9 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $479.16 | $871.20 | $245.71 – $2,277.00 | 10 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $285.12 | $518.40 | $245.71 – $2,277.00 | 9 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $186.78 | $339.60 | $245.71 – $2,277.00 | 10 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $245.71 – $2,277.00 | 10 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $245.71 – $2,277.00 | 10 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $700.26 | $1,273.20 | $1,325.00 – $2,899.06 | 10 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $245.71 – $2,277.00 | 10 |
| Cltx lunate dislc w/mnpj CPT 25690 | $4,225.32 | $7,682.40 | $1,325.00 – $2,899.06 | 10 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $14,235.54 | $25,882.80 | $2,034.00 – $10,672.90 | 10 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,545.54 – $2,797.36 | 10 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $3,990.33 | $7,255.15 | $2,034.00 – $5,977.46 | 10 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Cltx post ankle fx CPT 27767 | not published | not published | $245.71 – $2,277.00 | 10 |
| Cltx post ankle fx w/mnpj CPT 27768 | $684.42 | $1,244.40 | $1,325.00 – $2,899.06 | 10 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,818.30 | $3,306.00 | $1,325.00 – $2,899.06 | 10 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $245.71 – $2,277.00 | 10 |
| Cltx thigh fx CPT 27267 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,545.54 – $2,797.36 | 10 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $355.42 – $672.77 | 8 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $352.67 – $1,548.23 | 8 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $634.20 – $1,548.23 | 8 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $27.05 – $106.36 | 8 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $27.60 – $106.36 | 8 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $12.62 – $25.33 | 8 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.92 – $15.84 | 8 |
| #cmvcul-virus inoculation shell CPT 87254 | $75.35 | $137.00 | $17.60 – $35.21 | 8 |
| Cmv pcr-sendout CPT 87496 | $169.95 | $309.00 | $31.58 – $63.16 | 8 |
| Co2 monitor per day CPT 94681 | not published | not published | $73.22 – $672.77 | 8 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.70 – $4.99 | 8 |
| Coagulation time activated teg CPT 85347 | $42.35 | $77.00 | $3.85 – $7.70 | 8 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.04 – $8.08 | 8 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $128.17 – $231.99 | 8 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $128.17 – $231.99 | 8 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $7.26 – $14.53 | 8 |
| Cold agglutinin titer CPT 86157 | $20.90 | $38.00 | $7.25 – $14.51 | 8 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $75.14 – $140.94 | 8 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $114.18 | $207.60 | $132.53 – $2,277.00 | 9 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $137.28 | $249.60 | $132.53 – $2,277.00 | 9 |
| Collection of venous blood by venipuncture CPT 36415 | $11.00 | $20.00 | $2.70 – $2,277.00 | 9 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $215.08 – $389.29 | 8 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $926.34 – $1,778.00 | 10 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,191.98 – $2,157.43 | 10 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $926.34 – $2,277.00 | 10 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $926.34 – $2,277.00 | 10 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $926.34 – $2,514.00 | 10 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $2,277.00 – $10,945.26 | 10 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,191.98 – $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.