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 |
|---|---|---|---|---|
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $94.10 – $94.10 | 1 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $75.58 – $75.58 | 1 |
| Electrocochleography CPT 92584 | not published | not published | $118.29 – $231.99 | 8 |
| Electroconvulsive therapy 90870 CPT 90870 | $668.28 | $1,215.05 | $200.07 – $1,548.23 | 8 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $2,672.43 – $2,672.43 | 1 |
| Electrode stimulation brain CPT 95961 | not published | not published | $215.03 – $1,548.23 | 8 |
| Electroejaculation CPT 55870 | not published | not published | $917.46 – $14,491.00 | 10 |
| Electrogastrography CPT 91132 | not published | not published | $215.08 – $389.29 | 8 |
| Electrogastrography w/test CPT 91133 | not published | not published | $132.53 – $239.87 | 8 |
| Electrolyte panel CPT 80051 | $52.25 | $95.00 | $6.31 – $12.62 | 8 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $82.60 – $82.60 | 1 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $94.45 – $171.40 | 8 |
| Electron microscopy diagnostic CPT 88348 | $1,222.10 | $2,222.00 | $590.54 – $1,452.56 | 8 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $85.86 – $239.87 | 8 |
| Electrophysiologic study CPT 93624 | not published | not published | $138.47 – $14,062.06 | 9 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $534.67 – $14,062.06 | 9 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $588.14 – $14,062.06 | 9 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $88.22 – $10,988.00 | 3 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $88.22 – $10,988.00 | 3 |
| Electrophysiology evaluation CPT 93641 | $1,094.97 | $1,990.85 | $496.68 – $10,988.00 | 3 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $248.79 – $7,666.00 | 9 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $173.10 – $1,351.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $704.17 – $10,988.00 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $311.56 – $575.13 | 9 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $8.14 – $14.74 | 8 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $188.31 – $346.47 | 9 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Embolization s&i CPT 75894 | $4,449.06 | $8,089.20 | $1,661.38 – $1,661.38 | 1 |
| Embo or occlude vascular arterial s&i CPT 37242 | $16,266.99 | $29,576.35 | $13,080.00 – $33,050.22 | 9 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $14,186.92 | $25,794.40 | $11,499.23 – $20,813.09 | 9 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $12,830.51 | $23,328.20 | $11,499.23 – $20,813.09 | 9 |
| Embo or occlude vascular venous s&i CPT 37241 | $14,186.92 | $25,794.40 | $11,499.23 – $20,813.09 | 9 |
| Embryo hatching CPT 89253 | not published | not published | $134.24 – $307.16 | 8 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $917.46 – $2,277.00 | 10 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | $332.64 | $604.80 | $201.38 – $2,277.00 | 9 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $252.12 | $458.40 | $132.53 – $239.87 | 8 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $272.58 | $495.60 | $128.17 – $231.99 | 8 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $134.77 – $389.29 | 8 |
| Emg needle test 1-extremity CPT 95860 | $313.50 | $570.00 | $123.78 – $239.87 | 8 |
| Emg needle test 4-extremities CPT 95864 | $313.50 | $570.00 | $128.17 – $231.99 | 8 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $110.05 – $389.29 | 8 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $11.87 – $23.74 | 8 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $11.87 – $23.74 | 8 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $11.87 – $23.74 | 8 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $3,145.18 – $5,692.64 | 10 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $3,145.18 – $5,692.64 | 10 |
| Endo cath bile duct s&i CPT 74328 | $902.88 | $1,641.60 | $217.23 – $217.23 | 1 |
| Endo cath panc duct s&i CPT 74329 | $654.06 | $1,189.20 | $217.23 – $217.23 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $303.54 – $2,277.00 | 10 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $917.46 – $2,277.00 | 10 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $1,778.00 – $6,951.05 | 10 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $1,778.00 – $6,951.05 | 10 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $6,198.00 – $19,164.59 | 8 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $2,042.98 | $3,714.50 | $1,351.00 – $2,277.00 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,975.63 | $3,592.06 | $313.75 – $1,351.00 | 2 |
| Endoluminl ivus oct c ea CPT 92979 | $1,454.61 | $2,644.74 | $158.57 – $1,351.00 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $2,277.00 – $9,018.95 | 9 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $6,120.00 – $19,164.59 | 8 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $1,351.00 – $5,340.00 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $926.34 – $2,277.00 | 10 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $2,034.00 – $6,120.00 | 3 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $2,034.00 – $12,723.94 | 10 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $926.34 – $2,277.00 | 10 |
| Endoscopy of ureter CPT 50951 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Endoscopy of ureter CPT 50953 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Endoscopy swallow (fees) vid CPT 92612 | $414.06 | $752.84 | $52.25 – $94.57 | 8 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $1,325.00 – $3,208.99 | 10 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $6,120.00 – $6,120.00 | 1 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $2,277.00 – $20,813.09 | 9 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $2,277.00 – $5,692.64 | 9 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.46 – $65.98 | 9 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $59.40 | $108.00 | $10.78 – $21.56 | 8 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,277.00 – $6,951.05 | 9 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,911.43 – $3,459.61 | 9 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $39.63 – $79.25 | 8 |
| Enzyme histochemistry CPT 88319 | $205.15 | $373.00 | $97.41 – $1,452.56 | 8 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $1,509.74 – $47,124.10 | 9 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $2,014.64 – $47,124.10 | 9 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $57.67 – $104.39 | 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.