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 |
|---|---|---|---|---|
| Amputate hand at wrist CPT 25922 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Amputate thigh through femur 27590 CPT 27590 | $1,082.95 | $1,969.00 | $2,277.00 – $5,899.11 | 9 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,238.60 | $2,252.00 | $2,277.00 – $13,082.27 | 9 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Amputation of lower leg CPT 27882 | $811.80 | $1,476.00 | $2,277.00 – $5,899.11 | 9 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $524.15 | $953.00 | $1,778.00 – $5,899.11 | 10 |
| Amylase CPT 82150 | $112.20 | $204.00 | $5.83 – $11.66 | 8 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $60.41 – $60.41 | 1 |
| Ana ds-dna CPT 86226 | $17.60 | $32.00 | $10.90 – $21.80 | 8 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $205.15 | $373.00 | $21.76 – $21.76 | 1 |
| Anal pressure record CPT 91122 | not published | not published | $226.57 – $1,351.00 | 2 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $128.17 – $2,277.00 | 9 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $248.88 – $2,277.00 | 10 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $94.70 – $171.40 | 8 |
| Analysis gene f2 20210g>a variant CPT 81240 | $514.80 | $936.00 | $59.12 – $118.24 | 8 |
| Analysis gene f5 leiden variant CPT 81241 | $273.35 | $497.00 | $66.03 – $132.07 | 8 |
| Analysis nerve CPT 88356 | $182.05 | $331.00 | $44.78 – $93.95 | 8 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $37.18 – $67.29 | 8 |
| Analysis tumor CPT 88358 | $275.55 | $501.00 | $62.23 – $307.16 | 8 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $72.59 – $171.40 | 8 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $46.20 | $84.00 | $31.58 – $63.16 | 8 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | $210.65 | $383.00 | $6.42 – $27.09 | 8 |
| An cholangiogram percutaneous compl CPT 47531 | $1,118.04 | $2,032.80 | $1,325.00 – $6,455.13 | 10 |
| Androstanediol CPT 82154 | not published | not published | $25.95 – $51.89 | 8 |
| An fluoro guide for cvp CPT 77001 | $565.62 | $1,028.40 | $166.11 – $166.11 | 1 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $4,395.27 | $7,991.40 | $13,080.00 – $14,326.00 | 2 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $4,592.25 | $8,349.55 | $13,080.00 – $14,326.00 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $4,658.61 | $8,470.20 | $13,080.00 – $14,326.00 | 2 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $4,395.27 | $7,991.40 | $13,080.00 – $14,326.00 | 2 |
| Angiotensin ii CPT 82163 | not published | not published | $18.47 – $36.94 | 8 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $5,675.92 | $10,319.85 | $13,080.00 – $14,326.00 | 2 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,643.98 | $8,443.60 | $13,080.00 – $14,326.00 | 2 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $7,739.79 | $14,072.35 | $5,669.40 – $13,080.00 | 9 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,395.27 | $7,991.40 | $13,080.00 – $14,326.00 | 2 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $7,739.79 | $14,072.35 | $5,669.40 – $13,080.00 | 9 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Ankle X-ray CPT 73610 | $244.75 | $445.00 | $42.43 – $156.90 | 8 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $305.94 – $2,277.00 | 9 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $16.69 – $67.55 | 8 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.37 – $11.54 | 8 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $158.88 – $364.50 | 8 |
| Anora (draw only) CPT 99001 | not published | not published | $5.97 – $12.78 | 2 |
| Anorectal myomectomy CPT 45108 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Anoscopy CPT 46611 | not published | not published | $926.34 – $2,277.00 | 10 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,191.98 – $2,277.00 | 9 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,191.98 – $2,277.00 | 9 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $1,191.98 – $2,277.00 | 9 |
| Anoscopy remove fb 46608 CPT 46608 | $950.95 | $1,729.00 | $926.34 – $2,277.00 | 10 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $1,325.00 – $5,004.26 | 10 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $1,325.00 – $5,004.26 | 10 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $98.51 – $389.29 | 8 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Antibody CPT 86744 | not published | not published | $14.39 – $28.78 | 8 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $140.25 | $255.00 | $11.59 – $23.18 | 8 |
| Antibody elution rbc reference CPT 86860 | $163.90 | $298.00 | $35.18 – $307.16 | 8 |
| Antibody htlv/hiv confirm test CPT 86689 | $397.10 | $722.00 | $17.42 – $34.83 | 8 |
| Antibody htlv-i CPT 86687 | not published | not published | $8.18 – $16.36 | 8 |
| Antibody htlv-ii CPT 86688 | not published | not published | $12.60 – $25.20 | 8 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $605.00 | $1,100.00 | $16.53 – $33.07 | 8 |
| Antibody id rbc panel CPT 86870 | $206.80 | $376.00 | $48.37 – $646.24 | 8 |
| Antibody influenza virus CPT 86710 | $149.60 | $272.00 | $12.20 – $24.39 | 8 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $112.75 | $205.00 | $11.58 – $23.17 | 8 |
| Antibody screen rbc CPT 86850 | $63.80 | $116.00 | $8.79 – $93.95 | 8 |
| Antibody tetanus CPT 86774 | not published | not published | $13.32 – $26.64 | 8 |
| Antidepressant not specified CPT 80338 | $154.55 | $281.00 | $24.20 – $24.20 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $5.64 – $84.42 | 8 |
| Antigen therapy services CPT 95146 | not published | not published | $5.64 – $84.42 | 8 |
| Antigen therapy services CPT 95147 | not published | not published | $5.64 – $129.81 | 8 |
| Antigen therapy services CPT 95148 | not published | not published | $5.64 – $129.81 | 8 |
| Antigen therapy services CPT 95149 | not published | not published | $5.64 – $129.81 | 8 |
| Antigen therapy services CPT 95165 | not published | not published | $6.19 – $84.42 | 8 |
| Antigen therapy services CPT 95170 | not published | not published | $5.64 – $84.42 | 8 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.53 – $2.76 | 8 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.26 – $2.28 | 8 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.43 – $4.40 | 8 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $10.85 – $21.69 | 8 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $14.30 | $26.00 | $10.85 – $21.69 | 8 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $10.85 – $21.69 | 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.