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 |
|---|---|---|---|---|
| Echo guide for artery repair CPT 76936 | $607.20 | $1,104.00 | $176.00 – $389.29 | 8 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $105.82 – $105.82 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $105.02 – $105.02 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $105.02 – $105.02 | 1 |
| Echo stress CPT 93350 | $1,443.65 | $2,624.81 | $211.18 – $985.13 | 8 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $77.53 – $985.13 | 8 |
| Echo tee guidance CPT 93355 | not published | not published | $422.41 – $422.41 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,823.88 | $3,316.15 | $329.58 – $985.13 | 8 |
| Echo transesophageal CPT 93313 | not published | not published | $76.43 – $985.13 | 8 |
| Echo transesophageal CPT 93314 | not published | not published | $366.41 – $366.41 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $235.55 – $985.13 | 8 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $506.04 – $985.13 | 8 |
| Echo transthoracic CPT 93303 | $1,007.44 | $1,831.70 | $218.87 – $985.13 | 8 |
| Echo transthoracic CPT 93304 | not published | not published | $154.02 – $985.13 | 8 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $872.99 | $1,587.26 | $113.33 – $430.18 | 8 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $37.18 – $67.29 | 8 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $11.39 – $22.79 | 8 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,778.00 – $4,160.79 | 10 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,155.44 – $11,141.08 | 8 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $46.83 – $46.83 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $215.08 – $389.29 | 8 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $882.38 | $1,604.33 | $100.63 – $672.77 | 8 |
| Eeg during surgery CPT 95955 | not published | not published | $301.31 – $301.31 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $595.17 – $1,548.23 | 8 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $371.70 – $672.77 | 8 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $698.91 | $1,270.75 | $215.08 – $389.29 | 8 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $215.08 – $389.29 | 8 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $215.08 – $389.29 | 8 |
| Eeg recording awake and asleep CPT 95819 | $605.00 | $1,100.00 | $215.08 – $389.29 | 8 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $215.08 – $389.29 | 8 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $196.96 – $389.29 | 8 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $371.70 – $672.77 | 8 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $371.70 – $672.77 | 8 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $215.08 – $389.29 | 8 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $275.74 – $672.77 | 8 |
| E equine encephalitis igg CPT 86652 | not published | not published | $11.87 – $23.74 | 8 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.37 – $58.60 | 9 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $2,277.00 – $10,945.26 | 10 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $1,911.43 – $3,962.00 | 10 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $903.45 – $2,857.00 | 10 |
| Egd guide wire insertion CPT 43248 | not published | not published | $903.45 – $1,778.00 | 10 |
| Egd injection varices CPT 43243 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Egd remove foreign body CPT 43247 | $418.00 | $760.00 | $903.45 – $2,277.00 | 10 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Egd varices ligation CPT 43244 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $2,034.00 – $6,951.05 | 10 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $1,778.00 – $10,945.26 | 10 |
| Egfr gene com variants CPT 81235 | $1,260.60 | $2,292.00 | $292.12 – $584.24 | 8 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $46.20 | $84.00 | $31.58 – $63.16 | 8 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $31.53 – $31.53 | 1 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $31.53 – $31.53 | 1 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $14.94 – $14.94 | 1 |
| EKG tracing for initial prev HCPCS G0404 | $9.90 | $18.00 | $16.59 – $52.15 | 8 |
| Elbow arthroscopy CPT 29830 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $305.94 – $2,277.00 | 10 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.37 – $20.57 | 8 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $305.94 – $2,277.00 | 10 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $90.29 | $164.16 | $305.94 – $2,277.00 | 9 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $49.29 – $2,277.00 | 9 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $27.68 – $27.68 | 1 |
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.