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 |
|---|---|---|---|---|
| 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 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $37.32 – $67.55 | 8 |
| 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 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| 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 i&r CPT 92617 | not published | not published | $74.55 – $74.55 | 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 aneuploidy trisom risk CPT 81507 | $1,320.00 | $2,400.00 | $715.50 – $1,431.00 | 8 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $509.99 | $927.26 | $104.14 – $188.49 | 8 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $683.15 – $1,366.29 | 8 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $763.95 | $1,389.00 | $683.15 – $1,366.29 | 8 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $337.92 | $614.40 | $201.38 – $2,277.00 | 9 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $303.54 – $2,277.00 | 9 |
| Fetal fibronectin CPT 82731 | $333.85 | $607.00 | $57.97 – $115.94 | 8 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $303.54 – $2,277.00 | 10 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $168.85 | $307.00 | $6.96 – $13.91 | 8 |
| Fetal hemoglobin rosette CPT 85461 | $145.75 | $265.00 | $8.42 – $16.85 | 8 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $91.85 | $167.00 | $17.39 – $34.78 | 8 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Fetal non stress test CPT 59025 | $364.32 | $662.40 | $201.38 – $2,277.00 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $303.54 – $2,277.00 | 9 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $303.54 – $2,277.00 | 10 |
| #_fet/norfentcnfrmur CPT 80354 | $43.45 | $79.00 | $28.95 – $28.95 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $8.37 – $8.37 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $117.70 | $214.00 | $9.16 – $18.32 | 8 |
| Fibrin degradation products CPT 85362 | $76.45 | $139.00 | $6.20 – $12.40 | 8 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $8.75 – $17.50 | 8 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $9.16 – $18.32 | 8 |
| Fibrinogen activity CPT 85384 | $39.05 | $71.00 | $8.75 – $17.50 | 8 |
| Fibrinogen test CPT 85370 | not published | not published | $11.19 – $22.37 | 8 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $13.48 – $27.86 | 8 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $6.94 – $13.88 | 8 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $6.94 – $13.88 | 8 |
| Fibrinolytic plasminogen CPT 85415 | $56.65 | $103.00 | $15.47 – $30.94 | 8 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $9.16 – $18.32 | 8 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $204.60 | $372.00 | $5.88 – $11.75 | 8 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.31 – $0.58 | 8 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.00 – $1.81 | 8 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.35 – $0.64 | 8 |
| Filleted finger/toe flap CPT 14350 | $920.70 | $1,674.00 | $2,034.00 – $3,719.90 | 10 |
| Filtered speech hearing test CPT 92571 | not published | not published | $37.21 – $67.34 | 8 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $37.19 – $67.32 | 8 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $1,839.97 | $3,345.40 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $1,132.84 | $2,059.70 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,122.00 | $2,040.00 | $705.37 – $2,277.00 | 10 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $174.24 | $316.80 | $1,351.00 – $2,277.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $151.80 | $276.00 | $1,351.00 – $2,277.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $379.50 | $690.00 | $404.93 – $2,277.00 | 9 |
| Finger tendon transfer CPT 26497 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $34.13 – $106.36 | 8 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $45.28 – $106.36 | 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.