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 |
|---|---|---|---|---|
| Explore small intestine 44020 CPT 44020 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Explore/treat eye socket CPT 67412 | not published | not published | $2,277.00 – $4,286.38 | 10 |
| Explore/treat eye socket CPT 67420 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Explore/treat eye socket CPT 67430 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $2,277.00 – $4,286.38 | 10 |
| Explore/treat finger joint CPT 26075 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Explore/treat finger joint CPT 26080 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Explore/treat knee joint CPT 27331 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | $2,055.25 – $3,719.90 | 9 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $2,055.25 – $3,719.90 | 9 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $537.23 – $2,277.00 | 10 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $2,277.00 – $7,087.94 | 9 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $1,645.17 – $2,977.67 | 9 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $1,645.17 – $2,977.67 | 10 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $132.53 – $239.87 | 8 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $132.53 – $239.87 | 8 |
| Extended culture of oocytes CPT 89272 | not published | not published | $590.54 – $1,452.56 | 8 |
| Extended visual field xm CPT 92083 | not published | not published | $62.23 – $239.87 | 8 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Extensive hand surgery CPT 26250 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Extensive surgery of throat CPT 42842 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Extensive surgery of throat CPT 42844 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Extensive testis surgery CPT 54535 | not published | not published | $2,277.00 – $6,355.21 | 9 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,277.00 – $6,198.00 | 2 |
| External cannula declotting CPT 36860 | not published | not published | $1,568.02 – $13,080.00 | 10 |
| External chromosome analysis 20-25 cells CPT 88264 | $818.40 | $1,488.00 | $130.15 – $260.30 | 8 |
| External ocular photography CPT 92285 | not published | not published | $29.79 – $67.34 | 8 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $558.25 | $1,015.00 | $22.20 – $52.15 | 8 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,485.70 – $6,971.40 | 8 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,178.65 | $2,143.00 | $129.38 – $258.75 | 8 |
| Extnd color vision xm CPT 92283 | not published | not published | $58.76 – $106.36 | 8 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $63.25 | $115.00 | $16.14 – $32.27 | 8 |
| Extraction erupted tooth/exr HCPCS D7140 | $1,365.65 | $2,483.00 | not published | 0 |
| Extraction of lens CPT 66930 | not published | not published | $2,277.00 – $7,452.17 | 10 |
| Extraction of lens CPT 66940 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $132.53 – $239.87 | 8 |
| Eye allergy tests CPT 95060 | not published | not published | $57.27 – $239.87 | 8 |
| F-18 fdg pet diag HCPCS A9552 | $505.78 | $919.60 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,815.60 – $3,286.15 | 8 |
| F-18 fluciclovine per mci HCPCS A9588 | $732.23 | $1,331.33 | $284.53 – $580.09 | 8 |
| F-18 sodium fluoride HCPCS A9580 | $492.56 | $895.56 | not published | 0 |
| F9 full gene sequence CPT 81238 | not published | not published | $540.00 – $1,080.00 | 8 |
| Face bone graft CPT 21210 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Facial bones <3 CPT 70140 | $374.22 | $680.40 | $34.19 – $156.90 | 8 |
| Facial nerve function test CPT 92516 | not published | not published | $41.29 – $389.29 | 8 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,233.00 – $5,977.46 | 8 |
| Factor ix CPT 85250 | $279.95 | $509.00 | $17.14 – $34.27 | 8 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.69 – $6.68 | 8 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.74 – $3.14 | 8 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.48 – $9.91 | 8 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.40 – $2.53 | 8 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.65 – $8.41 | 8 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.85 – $3.36 | 8 |
| Factor viii CPT 85240 | $366.85 | $667.00 | $16.11 – $32.22 | 8 |
| Factor viii HCPCS J7190 | not published | not published | $1.19 – $2.24 | 8 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.48 – $4.64 | 8 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.21 – $2.20 | 8 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.11 – $3.81 | 8 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.57 – $2.84 | 8 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.44 – $2.60 | 8 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.22 – $5.82 | 8 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $11.10 – $20.22 | 8 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.20 – $34.41 | 8 |
| Fallopian tube recnl CPT 58345 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Family therapy without pt 50min 90846 CPT 90846 | $276.08 | $501.96 | $144.81 – $320.01 | 8 |
| Family therapy with patient 50 min 90847 CPT 90847 | $302.37 | $549.77 | $171.12 – $320.01 | 8 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $30.54 – $59.17 | 9 |
| Fancc gene CPT 81242 | not published | not published | $32.96 – $65.92 | 8 |
| Fat/lipids feces qualitative CPT 82705 | $37.40 | $68.00 | $4.59 – $9.18 | 8 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $16.89 – $33.79 | 8 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $203.35 – $368.05 | 8 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.10 – $8.21 | 8 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $65.24 – $118.09 | 8 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $95.09 – $1,676.63 | 8 |
| #fecal-sodium CPT 84302 | $268.40 | $488.00 | $4.37 – $8.75 | 8 |
| Feeding tube reposition CPT 74355 | not published | not published | $180.71 – $180.71 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $78.35 – $141.80 | 8 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $16.78 – $33.55 | 8 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Fem/popl revasc w/stent CPT 37226 | $10,836.13 | $19,702.05 | $13,080.00 – $14,326.00 | 2 |
| Feno poc CPT 95012 | not published | not published | $33.64 – $67.34 | 8 |
| Fern test HCPCS Q0114 | not published | not published | $8.77 – $17.53 | 8 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.13 – $2.04 | 8 |
| Ferritin CPT 82728 | $116.60 | $212.00 | $12.27 – $24.53 | 8 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.37 – $0.67 | 8 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.37 – $0.67 | 8 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $509.99 | $927.26 | $104.14 – $188.49 | 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.