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 |
|---|---|---|---|---|
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cross-over vein graft CPT 34520 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,886.42 – $3,432.43 | 8 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Cryoablate prostate CPT 55873 | not published | not published | $5,340.00 – $17,067.14 | 10 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $303.54 – $2,277.00 | 10 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $12.73 – $25.45 | 8 |
| Cryoprecipitate each unit HCPCS P9012 | $178.75 | $325.00 | not published | 0 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $590.54 – $1,452.56 | 8 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $134.24 – $307.16 | 8 |
| Cryopreservation sperm CPT 89259 | not published | not published | $134.24 – $307.16 | 8 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $439.46 – $2,277.00 | 10 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $44.78 – $93.95 | 8 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $2,277.00 – $7,059.16 | 10 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $199.85 – $2,277.00 | 9 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $58.76 – $2,277.00 | 9 |
| Cryptococcus abs qn - sendout CPT 86641 | $102.85 | $187.00 | $12.97 – $25.94 | 8 |
| Cryptosporidium antigen CPT 87272 | $28.05 | $51.00 | $10.78 – $21.56 | 8 |
| Crystal identification light microscopy CPT 89060 | $32.45 | $59.00 | $6.60 – $13.19 | 8 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Csf leakage imaging CPT 78650 | not published | not published | $509.32 – $2,334.13 | 8 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $305.94 – $2,277.00 | 10 |
| Csf ventriculography CPT 78635 | not published | not published | $517.56 – $978.92 | 8 |
| CT 3d report other modality w/workstation CPT 76377 | $394.68 | $717.60 | $72.12 – $72.12 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,302.84 | $2,368.80 | $174.72 – $316.23 | 8 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,791.90 | $3,258.00 | $174.72 – $316.23 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,302.84 | $2,368.80 | $174.72 – $316.23 | 8 |
| Cta neck without &/or w/contrast CPT 70498 | $968.88 | $1,761.60 | $174.72 – $316.23 | 8 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,302.84 | $2,368.80 | $347.51 – $628.99 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,873.08 | $3,405.60 | $174.72 – $316.23 | 8 |
| CT Angiogram of the Head CPT 70496 | $1,191.96 | $2,167.20 | $174.72 – $316.23 | 8 |
| CT angio hrt w/3d image CPT 75574 | $648.12 | $1,178.40 | $347.51 – $628.99 | 8 |
| CT angio pelvis CPT 72191 | $895.62 | $1,628.40 | $174.72 – $316.23 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,302.84 | $2,368.80 | $174.72 – $316.23 | 8 |
| CT bone density axial CPT 77078 | not published | not published | $86.69 – $156.90 | 8 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $174.72 – $316.23 | 8 |
| CT colonography dx CPT 74261 | not published | not published | $104.14 – $188.49 | 8 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $174.72 – $316.23 | 8 |
| CT colonography screening CPT 74263 | not published | not published | $237.67 – $430.18 | 8 |
| CT guidance for needle placement CPT 77012 | $848.10 | $1,542.00 | $119.39 – $119.39 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,269.84 | $2,308.80 | $113.33 – $113.33 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | $3,414.54 | $6,208.25 | $245.71 – $2,277.00 | 9 |
| CT guid parench tis ablat CPT 77013 | $708.84 | $1,288.80 | $344.69 – $344.69 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $81.18 | $147.60 | $80.36 – $156.90 | 8 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $347.51 – $628.99 | 8 |
| CT hrt w/3d image CPT 75572 | not published | not published | $347.51 – $628.99 | 8 |
| CT limited or localized follow-up study CPT 76380 | $339.24 | $616.80 | $86.69 – $156.90 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $998.58 | $1,815.60 | $174.72 – $316.23 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $844.80 | $1,536.00 | $104.14 – $188.49 | 8 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,228.92 | $2,234.40 | $174.72 – $316.23 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $998.58 | $1,815.60 | $174.72 – $316.23 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $844.80 | $1,536.00 | $104.14 – $188.49 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,228.92 | $2,234.40 | $174.72 – $316.23 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,191.96 | $2,167.20 | $174.72 – $316.23 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $968.88 | $1,761.60 | $174.72 – $316.23 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $819.72 | $1,490.40 | $104.14 – $188.49 | 8 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $125.40 | $228.00 | $235.93 – $2,277.00 | 10 |
| CT scan for therapy guide CPT 77014 | $895.62 | $1,628.40 | $133.69 – $133.69 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,362.14 | $4,294.80 | $347.51 – $628.99 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,117.28 | $3,849.60 | $347.51 – $628.99 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,873.08 | $3,405.60 | $237.67 – $430.18 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $998.58 | $1,815.60 | $174.72 – $316.23 | 8 |
| CT thoracic spine without contrast CPT 72128 | $844.80 | $1,536.00 | $104.14 – $188.49 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $293.04 | $532.80 | $104.14 – $188.49 | 8 |
| CT t-spine w /wo contrast CPT 72130 | $1,228.92 | $2,234.40 | $174.72 – $316.23 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,058.64 | $1,924.80 | $329.90 – $628.99 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $895.62 | $1,628.40 | $104.14 – $188.49 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,302.84 | $2,368.80 | $174.72 – $316.23 | 8 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $134.24 – $307.16 | 8 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $134.24 – $307.16 | 8 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,778.00 – $6,389.00 | 10 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,778.00 – $3,719.90 | 10 |
| Culture aerobic additional method definitive id each CPT 87077 | $57.20 | $104.00 | $7.27 – $14.54 | 8 |
| Culture afb any source CPT 87116 | $56.10 | $102.00 | $9.72 – $19.44 | 8 |
| Culture anaerobic additional method definitive id each CPT 87076 | $47.85 | $87.00 | $7.27 – $14.54 | 8 |
| Culture anaerobic except blood CPT 87075 | $47.85 | $87.00 | $8.52 – $17.05 | 8 |
| Culture bact stool aero addl path ea CPT 87046 | $72.05 | $131.00 | $8.50 – $16.99 | 8 |
| Culture body fluid CPT 87070 | $116.05 | $211.00 | $7.76 – $15.52 | 8 |
| Culture fungi definitive id mold CPT 87107 | $56.10 | $102.00 | $9.29 – $18.58 | 8 |
| Culture fungi definitive id yeast CPT 87106 | $100.65 | $183.00 | $9.29 – $18.58 | 8 |
| Culture fungi other (except blood) CPT 87102 | $47.85 | $87.00 | $7.57 – $15.14 | 8 |
| Culture fungi skin/hair/nail CPT 87101 | $63.80 | $116.00 | $6.94 – $13.88 | 8 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $62.70 | $114.00 | $13.15 – $26.30 | 8 |
| Culture mycoplasma any source CPT 87109 | $47.30 | $86.00 | $13.85 – $27.70 | 8 |
| Culture quantitative aerobic other source CPT 87071 | $151.25 | $275.00 | $8.90 – $17.80 | 8 |
| Culture screening strep group a CPT 87081 | $117.70 | $214.00 | $5.97 – $11.93 | 8 |
| Culture typing added method CPT 87158 | not published | not published | $6.97 – $13.93 | 8 |
| Culture typing immunologic CPT 87147 | $36.30 | $66.00 | $4.66 – $9.32 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $240.35 | $437.00 | $196.25 – $392.51 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $99.55 | $181.00 | $31.58 – $63.16 | 8 |
| Culture urine each isolate CPT 87088 | $66.00 | $120.00 | $7.28 – $14.56 | 8 |
| Culture virus isolation CPT 87250 | not published | not published | $17.60 – $35.21 | 8 |
| Curette/treat cornea CPT 65435 | not published | not published | $993.00 – $2,277.00 | 10 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,277.00 – $4,286.38 | 9 |
| Cutter lead HCPCS C1773 | $664.56 | $1,208.30 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $5,076.06 | $9,229.20 | $1,325.00 – $2,838.05 | 10 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $26.08 – $26.08 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $39.07 – $39.07 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $77.00 | $140.00 | $12.89 – $25.78 | 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.