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 |
|---|---|---|---|---|
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $903.45 – $2,277.00 | 10 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $2,277.00 – $10,945.26 | 10 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $903.45 – $2,277.00 | 10 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $903.45 – $2,277.00 | 10 |
| Esophagoscopy flex remove fb CPT 43215 | $362.09 | $658.35 | $1,325.00 – $3,459.61 | 10 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $2,277.00 – $6,951.05 | 10 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,277.00 – $6,951.05 | 10 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Esophagus motility study CPT 91010 | not published | not published | $193.60 – $672.77 | 8 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $371.70 – $672.77 | 8 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,647.00 – $3,459.61 | 10 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $25.40 – $1,351.00 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $194.68 – $389.29 | 8 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $371.70 – $672.77 | 8 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $808.57 – $808.57 | 1 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $426.99 – $426.99 | 1 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $850.62 – $850.62 | 1 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $976.20 – $976.20 | 1 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $329.90 – $329.90 | 1 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $956.62 – $956.62 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $528.53 – $528.53 | 1 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $1,444.91 – $1,444.91 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,665.90 – $1,665.90 | 1 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $1,448.33 – $1,448.33 | 1 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $565.63 – $565.63 | 1 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $781.46 – $781.46 | 1 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $427.54 – $427.54 | 1 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $815.04 – $815.04 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $508.41 – $508.41 | 1 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $1,151.95 – $1,151.95 | 1 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $26.54 – $26.54 | 1 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $31.51 – $31.51 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $14.11 – $14.11 | 1 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $27.19 – $27.19 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Establish access to aorta CPT 36160 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Establish access to artery CPT 36100 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $109.96 | $199.92 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $115.93 | $210.78 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $131.45 | $239.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $166.65 | $303.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $189.20 | $344.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Estradiol total CPT 82670 | $196.90 | $358.00 | $25.15 – $50.29 | 8 |
| Estrogens total-sendout CPT 82672 | not published | not published | $19.53 – $39.06 | 8 |
| Etanercept injection HCPCS J1438 | not published | not published | $838.23 – $838.23 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $521.15 – $985.09 | 8 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,034.00 – $5,977.46 | 10 |
| Ethylene glycol -sendout CPT 82693 | $133.10 | $242.00 | $13.41 – $26.82 | 8 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $97.60 – $176.65 | 8 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.57 – $15.14 | 8 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,277.00 – $5,836.23 | 10 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $31.32 – $31.32 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $128.17 – $231.99 | 8 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $113.31 – $205.09 | 8 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $9.34 – $18.68 | 8 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $346.50 | $630.00 | $88.30 – $176.60 | 8 |
| Evaluation heart device CPT 93640 | not published | not published | $496.68 – $10,988.00 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $463.72 | $843.13 | $124.55 – $225.43 | 8 |
| Evaluation psychiatric diagnostic CPT 90791 | $229.47 | $417.22 | $176.80 – $320.01 | 8 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $3,245.25 | $5,900.45 | $13,080.00 – $14,326.00 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | $3,245.25 | $5,900.45 | $13,080.00 – $14,326.00 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | 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.