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 |
|---|---|---|---|---|
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $305.72 – $553.34 | 8 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $11.23 – $20.33 | 8 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $0.04 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $54.47 – $102.69 | 8 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.90 – $5.26 | 8 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.90 – $5.26 | 8 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $263.31 – $491.19 | 8 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $24.93 – $24.93 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $199.85 – $361.72 | 8 |
| D&c after delivery 59160 CPT 59160 | $2,297.43 | $4,177.15 | $2,034.00 – $5,836.23 | 10 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $2,641.32 | $4,802.40 | $1,778.00 – $5,836.23 | 10 |
| Dch glucoscan CPT 82948 | not published | not published | $4.54 – $9.07 | 8 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $161.16 – $672.77 | 8 |
| Dch validity tests CPT 81002 | $30.25 | $55.00 | $3.13 – $6.26 | 8 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,945.12 – $5,340.00 | 10 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,277.00 – $5,977.46 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,325.00 – $3,520.58 | 10 |
| D&c of cervical stump CPT 57558 | not published | not published | $2,034.00 – $5,836.23 | 10 |
| Deamidated gliadin antibody iga CPT 86258 | $54.45 | $99.00 | $10.38 – $21.69 | 8 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $594.66 | $1,081.20 | $404.93 – $2,277.00 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $332.64 | $604.80 | $20.79 – $1,351.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,212.98 | $4,023.60 | $1,645.17 – $2,977.67 | 10 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $602.58 | $1,095.60 | $1,351.00 – $2,277.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,710.72 | $3,110.40 | $1,351.00 – $2,277.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,311.42 | $2,384.40 | $404.93 – $2,277.00 | 10 |
| Debride nail1-5 11720 CPT 11720 | $86.46 | $157.20 | $58.76 – $2,277.00 | 9 |
| Debride nail6 or more 11721 CPT 11721 | $199.32 | $362.40 | $58.76 – $2,277.00 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $2,052.60 | $3,732.00 | $705.37 – $2,277.00 | 10 |
| Debride skin bone at fx site CPT 11012 | $2,166.78 | $3,939.60 | $1,778.00 – $5,236.93 | 10 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $791.45 | $1,439.00 | $2,277.00 – $3,233.00 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,075.80 | $1,956.00 | $2,277.00 – $3,233.00 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $821.04 | $1,492.80 | $1,351.00 – $2,277.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $199.85 – $2,277.00 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,939.08 | $3,525.60 | $705.37 – $2,277.00 | 10 |
| Debr inf skin add-on 11001 CPT 11001 | $124.08 | $225.60 | $1,351.00 – $2,277.00 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,836.12 | $3,338.40 | $736.19 – $2,277.00 | 10 |
| Decalcification CPT 88311 | $64.90 | $118.00 | $7.85 – $13.31 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $669.24 | $1,216.80 | $329.02 – $2,277.00 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Decompress fingers/hand CPT 26035 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Decompression of leg CPT 27892 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Decompression of leg CPT 27893 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Decompression of leg CPT 27894 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Decompression of lower leg CPT 27600 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Decompression of lower leg CPT 27601 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,325.00 – $3,520.58 | 10 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Decompress optic nerve CPT 67570 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Decompress small bowel CPT 44021 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.46 – $8.07 | 8 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $2,034.00 – $14,735.85 | 10 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Delay flap eye/nos/ear/lip CPT 15630 | $446.05 | $811.00 | $2,034.00 – $3,719.90 | 10 |
| Delay flap fccnaxghf 15620 CPT 15620 | $421.85 | $767.00 | $2,055.25 – $3,719.90 | 10 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $2,034.00 – $6,389.00 | 10 |
| Delivery of placenta 59414 CPT 59414 | $3,175.92 | $5,774.40 | $2,277.00 – $5,836.23 | 9 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $132.62 – $240.03 | 8 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $99.00 | $180.00 | $30.34 – $394.80 | 8 |
| Denervation of hip joint CPT 27035 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $29.32 – $54.18 | 8 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $194.04 | $352.80 | $132.53 – $2,277.00 | 10 |
| Dermabrasion other than face CPT 15782 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $705.37 – $2,277.00 | 10 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $404.93 – $2,277.00 | 10 |
| Dermabrasion total face CPT 15780 | not published | not published | $2,277.00 – $5,236.93 | 9 |
| Derma-fat-fascia graft 15770 CPT 15770 | $877.25 | $1,595.00 | $2,034.00 – $6,389.00 | 10 |
| Dermagraft HCPCS Q4106 | not published | not published | $65.95 – $65.95 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $130.65 – $3,719.90 | 8 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,778.00 – $6,389.00 | 10 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,778.00 – $3,719.90 | 10 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Design custom breast implant CPT 19396 | not published | not published | $2,277.00 – $7,059.16 | 9 |
| Design mlc device for imrt CPT 77338 | $1,477.68 | $2,686.69 | $372.97 – $675.06 | 8 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $5.25 – $5.25 | 1 |
| Desoxycorticosterone CPT 82633 | not published | not published | $27.88 – $55.76 | 8 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $199.85 – $2,277.00 | 9 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $199.85 – $2,277.00 | 9 |
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.