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 |
|---|---|---|---|---|
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $178.49 – $178.49 | 1 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $23.20 – $67.34 | 8 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $35.84 – $67.34 | 8 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $42.79 – $42.79 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $34.13 – $34.13 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $48.41 – $48.41 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $201.38 – $2,277.00 | 9 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Fixation of knee joint CPT 27570 | $198.00 | $360.00 | $1,325.00 – $2,899.06 | 10 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $903.45 – $2,277.00 | 10 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Flebogamma injection HCPCS J1572 | not published | not published | $47.21 – $163.33 | 8 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $16.78 – $33.55 | 8 |
| Fl exam g/colon tube w contrast CPT 49465 | $126.72 | $230.40 | $237.67 – $2,277.00 | 9 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $926.34 – $1,676.63 | 10 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,350.19 – $2,852.41 | 8 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $368.96 – $667.80 | 8 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $690.77 – $1,309.60 | 8 |
| Flow cytometry interp 16 or more CPT 88189 | $157.85 | $287.00 | $76.63 – $194.83 | 2 |
| Flow cytometry marker each additional CPT 88185 | $59.95 | $109.00 | $20.73 – $87.50 | 2 |
| Flow cytometry one marker technical component CPT 88184 | $182.60 | $332.00 | $143.58 – $646.24 | 8 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $123.96 – $224.36 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | $117.15 | $213.00 | $56.53 – $159.18 | 2 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,229.02 – $7,913.69 | 8 |
| Flt3 gene CPT 81245 | $388.85 | $707.00 | $148.96 – $297.92 | 8 |
| Flt3 gene analysis CPT 81246 | not published | not published | $74.70 – $149.40 | 8 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $178.40 – $178.40 | 1 |
| Fluidotherapy charges pt CPT 97022 | $119.14 | $216.61 | $15.15 – $27.41 | 8 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $705.37 – $2,277.00 | 10 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $513.57 – $929.53 | 8 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $336.94 – $609.85 | 8 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $61.19 – $672.77 | 8 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $107.30 – $389.29 | 8 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $215.08 – $389.29 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $139.15 | $253.00 | $10.85 – $21.69 | 8 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $528.54 – $1,539.99 | 8 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $457.89 – $828.76 | 8 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $685.08 | $1,245.60 | $106.20 – $106.20 | 1 |
| Fluoroguide needle placement CPT 77002 | $484.44 | $880.80 | $85.31 – $85.31 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $17.02 – $34.04 | 8 |
| Fluoroscopy up to 1 hour CPT 76000 | $551.76 | $1,003.20 | $72.12 – $430.18 | 8 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $926.86 – $3,499.22 | 8 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $12.69 – $12.69 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $52.60 – $52.60 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $237.67 – $430.18 | 8 |
| Fmri brain by tech CPT 70554 | not published | not published | $237.67 – $430.18 | 8 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,122.00 | $2,040.00 | $705.37 – $2,277.00 | 10 |
| Fna bx w/ct gdn ea addl CPT 10010 | $237.60 | $432.00 | $1,351.00 – $2,277.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,188.00 | $2,160.00 | $705.37 – $2,277.00 | 10 |
| Fna bx w/mr gdn ea addl CPT 10012 | $237.60 | $432.00 | $1,351.00 – $2,277.00 | 2 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $26.02 | $47.30 | not published | 0 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $19.51 | $35.48 | not published | 0 |
| Foam stability fetal lung CPT 83662 | not published | not published | $17.02 – $34.04 | 8 |
| Folic acid CPT 82746 | $86.35 | $157.00 | $13.23 – $26.46 | 8 |
| Follow-up angiography CPT 75898 | $752.40 | $1,368.00 | $72.42 – $5,692.64 | 8 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $38.20 – $240.03 | 8 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,778.00 – $4,286.38 | 10 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.15 – $11.13 | 8 |
| Foot X-ray CPT 73630 | $272.25 | $495.00 | $39.70 – $156.90 | 8 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $1,326.60 | $2,412.00 | $2,034.00 – $6,389.00 | 10 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $526.01 – $1,041.60 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $15.51 – $93.95 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $831.60 | $1,512.00 | $248.88 – $2,277.00 | 10 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $40.58 – $40.58 | 1 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $25.65 – $51.30 | 8 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $43.45 – $156.90 | 8 |
| _fragile x methylation-sendout CPT 81244 | $383.90 | $698.00 | $40.40 – $80.80 | 8 |
| Fragmenting of kidney stone CPT 50590 | $9,240.00 | $16,800.00 | $3,511.25 – $10,364.00 | 10 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Frenectomy 41115 CPT 41115 | $1,710.72 | $3,110.40 | $1,325.00 – $2,797.36 | 10 |
| Frenotomy 40806 CPT 40806 | not published | not published | $537.23 – $2,277.00 | 9 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,778.00 – $3,768.77 | 10 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $221.10 | $402.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $291.50 | $530.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $21.98 – $307.16 | 8 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $30.46 – $67.34 | 8 |
| Frozen blood prep CPT 86930 | not published | not published | $130.82 – $307.16 | 8 |
| Frozen blood thaw CPT 86931 | not published | not published | $98.39 – $307.16 | 8 |
| Frozen cell preparation CPT 88241 | not published | not published | $10.88 – $21.76 | 8 |
| Fructosamine glycated protein CPT 82985 | $121.55 | $221.00 | $15.08 – $30.17 | 8 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $184.80 | $336.00 | $1,351.00 – $2,277.00 | 2 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,338.63 – $2,677.27 | 8 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $62.57 – $125.14 | 8 |
| Ftl cgen abnor four anal CPT 81511 | $1,338.70 | $2,434.00 | $138.15 – $276.30 | 8 |
| Ftl cgen abnor three anal CPT 81510 | $101.75 | $185.00 | $49.99 – $99.97 | 8 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $48.87 – $97.74 | 8 |
| Full field erg w/i&r CPT 92273 | not published | not published | $160.68 – $389.29 | 8 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $58.38 – $430.18 | 8 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $1,114.30 | $2,026.00 | $1,778.00 – $3,719.90 | 10 |
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.