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 |
|---|---|---|---|---|
| Dilat xst trc ndurlgc px CPT 50436 | $3,370.65 | $6,128.45 | $2,277.00 – $6,355.21 | 10 |
| Dilat xst trc new access rcs CPT 50437 | $5,670.17 | $10,309.40 | $2,277.00 – $6,355.21 | 9 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $744.76 – $1,347.98 | 8 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.21 – $67.34 | 8 |
| Disability dlco CPT 94727 | $671.21 | $1,220.38 | $56.17 – $389.29 | 8 |
| Disaccharidases CPT 82657 | $513.15 | $933.00 | $19.95 – $39.91 | 8 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Discography cerv/thor spine CPT 72285 | $6,099.72 | $11,090.40 | $96.31 – $3,520.58 | 8 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,351.00 – $3,208.99 | 9 |
| Dissolve clot heart vessel CPT 92975 | $939.98 | $1,709.05 | $717.69 – $3,233.00 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $22.40 – $22.40 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Dmd dup/delet analysis CPT 81161 | $654.50 | $1,190.00 | $251.10 – $502.20 | 8 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $123.30 – $246.60 | 8 |
| Dna antibody native/double stranded CPT 86225 | $41.25 | $75.00 | $12.37 – $24.73 | 8 |
| Dna gardnerella CPT 87510 | $59.40 | $108.00 | $18.05 – $36.09 | 8 |
| Dna probe chlamydia CPT 87490 | not published | not published | $20.48 – $40.95 | 8 |
| Dna probe gc CPT 87590 | not published | not published | $24.19 – $48.38 | 8 |
| Dna trichomonas CPT 87660 | $59.40 | $108.00 | $18.05 – $36.09 | 8 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $46.03 – $83.32 | 8 |
| Doppler echo complete CPT 93320 | $645.08 | $1,172.88 | $43.53 – $43.53 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,343.11 | $6,078.39 | $313.75 – $1,351.00 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $874.96 | $1,590.83 | $201.29 – $389.29 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $541.61 | $984.75 | $132.53 – $239.87 | 8 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $249.92 – $452.34 | 8 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $115.96 – $209.89 | 8 |
| Dpyd gene common variants CPT 81232 | $323.40 | $588.00 | $157.33 – $314.66 | 8 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $535.92 | $974.40 | $705.37 – $2,277.00 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $229.68 | $417.60 | $705.37 – $2,277.00 | 9 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,645.17 – $2,977.67 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $392.70 | $714.00 | $705.37 – $2,277.00 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,778.00 – $5,236.93 | 10 |
| Drainage mouth roof lesion CPT 42000 | $502.26 | $913.20 | $235.93 – $2,277.00 | 10 |
| Drainage of arm bursa 23931 CPT 23931 | $1,758.74 | $3,197.70 | $1,645.17 – $2,977.67 | 10 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Drainage of eye CPT 65800 | not published | not published | $1,325.00 – $4,160.79 | 10 |
| Drainage of eye CPT 65810 | not published | not published | $2,034.00 – $4,160.79 | 10 |
| Drainage of eye CPT 65815 | not published | not published | $1,778.00 – $4,160.79 | 10 |
| Drainage of forearm bursa CPT 25031 | $2,818.89 | $5,125.25 | $1,601.73 – $2,899.06 | 10 |
| Drainage of kidney lesion CPT 50390 | $1,324.62 | $2,408.40 | $705.37 – $2,277.00 | 10 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $235.93 – $2,277.00 | 10 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Drainage of mouth lesion CPT 41008 | $1,162.92 | $2,114.40 | $1,325.00 – $5,977.46 | 10 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $537.23 – $2,277.00 | 10 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $537.23 – $2,277.00 | 10 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,325.00 – $10,672.90 | 10 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Drainage of nose lesion int 30000 CPT 30000 | $1,073.82 | $1,952.40 | $235.93 – $2,277.00 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $537.23 – $2,277.00 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Drainage of salivary gland CPT 42305 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Drainage of salivary gland CPT 42320 | not published | not published | $537.23 – $2,277.00 | 10 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,082.24 – $3,768.77 | 9 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $694.58 – $2,277.00 | 10 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,082.24 – $3,768.77 | 9 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $855.40 – $2,277.00 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $399.30 | $726.00 | $132.53 – $2,277.00 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,894.20 | $3,444.00 | $1,645.17 – $2,977.67 | 10 |
| Drain cath image guided visceral pq CPT 49405 | $2,828.82 | $5,143.30 | $1,645.17 – $5,340.00 | 10 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,021.02 | $1,856.40 | $703.13 – $2,277.00 | 10 |
| Drain chest lesion CPT 21502 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Drain finger abscess;simple 26010 CPT 26010 | $184.80 | $336.00 | $199.85 – $2,277.00 | 9 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Drain lower leg lesion 27603 CPT 27603 | $517.00 | $940.00 | $1,778.00 – $5,236.93 | 10 |
| Drain neck/chest lesion 21501 CPT 21501 | $9,694.08 | $17,625.60 | $1,778.00 – $5,236.93 | 10 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,034.00 – $5,836.23 | 10 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Drain penis lesion CPT 54015 | not published | not published | $1,645.17 – $2,977.67 | 10 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Drain shoulder lesion CPT 23030 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $656.04 | $1,192.80 | $199.85 – $2,277.00 | 10 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $430.98 | $783.60 | $199.85 – $2,277.00 | 10 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $983.40 | $1,788.00 | $404.93 – $2,277.00 | 10 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $736.19 – $2,277.00 | 9 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $40.68 – $224.36 | 8 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,277.00 – $3,233.00 | 2 |
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.