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 |
|---|---|---|---|---|
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,191.98 – $2,157.43 | 10 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,191.98 – $2,157.43 | 10 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,277.00 – $5,004.26 | 10 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $2,277.00 – $10,945.26 | 10 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Colpocentesis 57020 CPT 57020 | $551.10 | $1,002.00 | $1,778.00 – $9,018.95 | 10 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $2,277.00 – $9,018.95 | 9 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $2,277.00 – $13,369.33 | 9 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $2,277.00 – $13,369.33 | 9 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $3,480.00 – $9,018.95 | 8 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $4,355.56 | $7,919.20 | $1,325.00 – $5,836.23 | 10 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $917.46 – $2,277.00 | 10 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $1,780.16 | $3,236.65 | $1,778.00 – $5,836.23 | 10 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $201.38 – $2,277.00 | 10 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $201.38 – $2,277.00 | 9 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $303.54 – $2,277.00 | 10 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $303.54 – $2,277.00 | 10 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $1,778.00 – $5,836.23 | 10 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $1,325.00 – $5,836.23 | 10 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $121.55 | $221.00 | $41.76 – $307.16 | 8 |
| Compatibility test each unit electronic CPT 86923 | $291.50 | $530.00 | $31.32 – $307.16 | 8 |
| Compatibility test each unit immediate spin technique CPT 86920 | $135.30 | $246.00 | $39.03 – $307.16 | 8 |
| Compatibility test incubate CPT 86921 | not published | not published | $35.18 – $307.16 | 8 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $694.58 – $2,277.00 | 9 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $694.58 – $2,277.00 | 9 |
| Complement antigen each component c3 CPT 86160 | $322.30 | $586.00 | $10.80 – $21.60 | 8 |
| Complement fixation each CPT 86171 | not published | not published | $9.01 – $18.02 | 8 |
| Complete removal of vulva CPT 56625 | not published | not published | $2,277.00 – $5,836.23 | 10 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $248.88 – $2,277.00 | 10 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $250.80 | $456.00 | $404.93 – $2,277.00 | 10 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $616.44 | $1,120.80 | $736.19 – $2,277.00 | 10 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $215.08 – $2,277.00 | 9 |
| Compl oph exam general anes CPT 92018 | not published | not published | $257.78 – $4,286.38 | 8 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $718.08 | $1,305.60 | $736.19 – $2,277.00 | 10 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $787.38 | $1,431.60 | $736.19 – $2,277.00 | 10 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $866.58 | $1,575.60 | $1,351.00 – $2,277.00 | 2 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $524.04 | $952.80 | $404.93 – $2,277.00 | 10 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,824.90 | $3,318.00 | $404.93 – $2,277.00 | 10 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $524.04 | $952.80 | $1,351.00 – $2,277.00 | 2 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $400.62 | $728.40 | $1,351.00 – $2,277.00 | 2 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $549.78 | $999.60 | $736.19 – $2,277.00 | 10 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $547.14 | $994.80 | $1,351.00 – $2,277.00 | 2 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,778.00 – $3,719.90 | 10 |
| Comprehensive hearing test CPT 92557 | not published | not published | $57.77 – $231.99 | 8 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $132.62 – $240.03 | 8 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $132.62 – $240.03 | 8 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $347.51 – $628.99 | 8 |
| Concentration infection agents any type CPT 87015 | $47.85 | $87.00 | $6.01 – $12.02 | 8 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $121.59 – $231.99 | 8 |
| Condylomata destruction 56420 CPT 56420 | $389.40 | $708.00 | $201.38 – $2,277.00 | 10 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,778.00 – $5,836.23 | 10 |
| Conization of cervix CPT 57520 | not published | not published | $1,778.00 – $5,836.23 | 10 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $399.29 – $722.71 | 8 |
| Connect omega .5mm HCPCS L8613 | $3,633.59 | $6,606.52 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $2,034.00 – $5,977.46 | 10 |
| Construction of vagina CPT 57291 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Construct vagina with graft CPT 57292 | not published | not published | $2,277.00 – $9,018.95 | 9 |
| Consultation pathology during surgery CPT 88329 | $73.15 | $133.00 | $30.46 – $106.36 | 8 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $186.45 | $339.00 | $69.37 – $1,452.56 | 8 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $160.05 | $291.00 | $21.55 – $21.67 | 2 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $204.60 | $372.00 | $62.23 – $307.16 | 8 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $120.45 | $219.00 | $44.78 – $93.95 | 8 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $120.45 | $219.00 | $30.46 – $67.34 | 8 |
| Consult comp w/report rfrd material CPT 88325 | $59.95 | $109.00 | $134.24 – $307.16 | 8 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $103.08 – $805.40 | 8 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $114.91 – $239.87 | 8 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $77.34 – $77.34 | 1 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $47.46 – $1,351.00 | 2 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Contour of face bone lesion CPT 21029 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Contrast baths charges CPT 97034 | $45.17 | $82.13 | $13.03 – $23.58 | 8 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,502.62 | $6,368.40 | $166.11 – $5,692.64 | 8 |
| Contrast exam thoracic aorta CPT 75600 | $2,929.74 | $5,326.80 | $312.86 – $5,692.64 | 8 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,929.74 | $5,326.80 | $165.56 – $10,032.25 | 8 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $91.35 – $316.23 | 8 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $130.38 – $628.99 | 8 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $115.02 – $628.99 | 8 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $160.60 – $1,413.34 | 8 |
| Contrast x-ray of elbow CPT 73085 | $1,046.10 | $1,902.00 | $124.33 – $628.99 | 8 |
| Contrast x-ray of hip CPT 73525 | $708.18 | $1,287.60 | $129.83 – $628.99 | 8 |
| Contrast x-ray of knee joint CPT 73580 | $487.85 | $887.00 | $172.15 – $628.99 | 8 |
| Contrast x-ray of wrist CPT 73115 | $506.00 | $920.00 | $141.37 – $628.99 | 8 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $17,706.89 – $32,048.68 | 8 |
| Controller infinity pt dbs HCPCS C1787 | $1,509.85 | $2,745.19 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $133.32 | $242.40 | $132.53 – $2,277.00 | 10 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $2,034.00 – $5,977.46 | 10 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $235.93 – $2,277.00 | 9 |
| Control of nosebleed ant comp 30903 CPT 30903 | $513.48 | $933.60 | $132.53 – $2,277.00 | 10 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $559.02 | $1,016.40 | $132.53 – $2,277.00 | 9 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $537.23 – $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.