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 |
|---|---|---|---|---|
| Cyclic citrullinated peptide antibody CPT 86200 | $79.75 | $145.00 | $11.66 – $23.31 | 8 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.57 – $1.04 | 8 |
| Cyclosporine 2 hour CPT 80158 | $113.30 | $206.00 | $16.25 – $32.49 | 8 |
| Cyp2c19 gene com variants CPT 81225 | $963.05 | $1,751.00 | $262.22 – $524.45 | 8 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $157.33 – $314.66 | 8 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $324.95 – $811.64 | 8 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $157.33 – $314.66 | 8 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $157.33 – $314.66 | 8 |
| Cystatin c CPT 82610 | $55.55 | $101.00 | $16.67 – $33.34 | 8 |
| Cystic fibrosis cftr CPT 81223 | $977.35 | $1,777.00 | $449.10 – $898.20 | 8 |
| Cystine urine quantitative CPT 82131 | $205.15 | $373.00 | $20.68 – $41.36 | 8 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $798.60 | $1,452.00 | $42.98 – $628.99 | 8 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $6,120.00 – $17,067.14 | 8 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $2,277.00 – $17,067.14 | 9 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $3,480.00 – $17,067.14 | 8 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $694.58 – $2,277.00 | 9 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $2,277.00 – $17,067.14 | 9 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,514.00 – $14,491.00 | 10 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,034.00 – $9,666.82 | 10 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,325.00 – $3,768.77 | 10 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,034.00 – $3,768.77 | 10 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $694.58 – $2,277.00 | 10 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Cystoscopy (Bladder Scope) CPT 52000 | $884.59 | $1,608.35 | $694.58 – $2,277.00 | 10 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,082.24 – $3,768.77 | 10 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $694.58 – $2,277.00 | 10 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Cystoscopy inject material CPT 52327 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,480.00 – $9,666.82 | 8 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,514.00 – $9,666.82 | 10 |
| Cystoscopy & ureter catheter CPT 52005 | $2,194.50 | $3,990.00 | $1,778.00 – $3,768.77 | 10 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $4,902.62 | $8,913.85 | $2,082.24 – $3,768.77 | 10 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,514.00 – $14,491.00 | 10 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $2,277.00 – $6,355.21 | 9 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,110.00 – $10,364.00 | 10 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $2,034.00 – $9,666.82 | 10 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $3,233.00 – $5,340.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $38.14 – $76.28 | 8 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $36.63 – $73.26 | 8 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,044.00 – $2,088.00 | 8 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $810.00 – $1,620.00 | 8 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $162.25 | $295.00 | $12.95 – $25.90 | 8 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $345.95 | $629.00 | $15.17 – $30.33 | 8 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $12.08 – $24.16 | 8 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,848.60 – $3,345.88 | 8 |
| Cyto/molecular report CPT 88291 | $180.95 | $329.00 | $30.47 – $54.81 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $22.83 – $45.67 | 8 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $11.41 – $26.37 | 8 |
| Cytopath fl nongyn filter CPT 88106 | $139.70 | $254.00 | $22.20 – $52.15 | 8 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $261.25 | $475.00 | $44.78 – $93.95 | 8 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $85.80 | $156.00 | $23.95 – $47.90 | 8 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $114.95 | $209.00 | $18.23 – $36.47 | 8 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $112.20 | $204.00 | $30.46 – $67.34 | 8 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $151.25 | $275.00 | $30.46 – $67.34 | 8 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $74.25 | $135.00 | $6.60 – $12.76 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $104.50 | $190.00 | $31.44 – $307.16 | 8 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $155.65 | $283.00 | $44.78 – $93.95 | 8 |
| Cytopath smear other source CPT 88160 | $120.45 | $219.00 | $22.20 – $52.15 | 8 |
| Cytopath smear other source CPT 88162 | not published | not published | $44.78 – $93.95 | 8 |
| Cytopath smear oth prep screen & interp CPT 88161 | $120.45 | $219.00 | $22.20 – $52.15 | 8 |
| Cytopath tbs c/v manual CPT 88164 | $85.80 | $156.00 | $13.64 – $33.37 | 8 |
| Cytotoxic antibody screening CPT 86807 | $212.85 | $387.00 | $70.79 – $141.57 | 8 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $26.71 – $53.42 | 8 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $415.25 | $755.00 | $169.71 – $307.16 | 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.