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 |
|---|---|---|---|---|
| Gel-one HCPCS J7326 | not published | not published | $530.66 – $960.47 | 8 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $246.01 – $445.27 | 8 |
| General health panel CPT 80050 | $223.85 | $407.00 | $40.82 – $65.95 | 2 |
| Generator barostim neo2 2014 HCPCS C1767 | $16,431.45 | $29,875.36 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,203.70 – $4,407.41 | 8 |
| Genioplasty augmentation CPT 21120 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,103.89 – $4,207.77 | 8 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,528.08 – $9,056.16 | 8 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,438.96 – $4,877.91 | 8 |
| Gentamicin peak therapeutic drug level CPT 80170 | $104.50 | $190.00 | $14.74 – $29.48 | 8 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.79 – $6.85 | 8 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $714.12 – $1,548.23 | 8 |
| Gfrg autol fat lipo ea addl CPT 15774 | $184.25 | $335.00 | $1,351.00 – $2,277.00 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $1,826.22 | $3,320.40 | $926.34 – $2,277.00 | 10 |
| Ghs abscess postoperative iandd complex CPT 10180 | $6,181.56 | $11,239.20 | $1,778.00 – $5,236.93 | 10 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $102.85 | $187.00 | $8.83 – $17.66 | 8 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $291.50 | $530.00 | $15.40 – $30.80 | 8 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $92.03 – $184.07 | 8 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $43.25 – $239.87 | 8 |
| Ghs antibodies (torch) igm CPT 86694 | $231.00 | $420.00 | $12.95 – $25.90 | 8 |
| Ghs aspiration bladder - needle CPT 51100 | $151.80 | $276.00 | $248.88 – $2,277.00 | 9 |
| Ghs bladder cath - complex-foley CPT 51703 | $275.88 | $501.60 | $128.17 – $2,277.00 | 10 |
| Ghs bleeding time (ivy) CPT 85002 | $59.95 | $109.00 | $4.34 – $8.68 | 8 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $500.28 | $909.60 | $703.13 – $2,277.00 | 10 |
| Ghs central line insert < age 5, failed CPT 36555 | $117.70 | $214.00 | $1,325.00 – $5,692.64 | 10 |
| Ghs change cysto/gastrost CPT 43762 | $958.32 | $1,742.40 | $248.88 – $2,277.00 | 10 |
| Ghs chemo >8 hrs CPT 96416 | $436.92 | $794.40 | $233.10 – $595.51 | 8 |
| Ghs chemo infusion >8 hrs CPT 96425 | $49.50 | $90.00 | $302.30 – $595.51 | 8 |
| Ghs chemo IV push, ea addtl CPT 96411 | $244.20 | $444.00 | $71.72 – $129.81 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $31.58 – $63.16 | 8 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $867.90 | $1,578.00 | $245.71 – $2,277.00 | 9 |
| Ghs closed reduction ankle dislocation CPT 27840 | $832.26 | $1,513.20 | $245.71 – $2,277.00 | 10 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $4,790.28 | $8,709.60 | $1,325.00 – $2,899.06 | 10 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $245.71 – $2,277.00 | 10 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,982.64 | $3,604.80 | $1,325.00 – $2,899.06 | 10 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $4,839.12 | $8,798.40 | $1,778.00 – $6,389.00 | 10 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $495.00 | $900.00 | $245.71 – $2,277.00 | 10 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $4,206.18 | $7,647.60 | $1,325.00 – $2,899.06 | 10 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,737.02 | $4,976.40 | $1,601.73 – $2,899.06 | 10 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $159.72 | $290.40 | $245.71 – $2,277.00 | 10 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $217.14 | $394.80 | $245.71 – $2,277.00 | 9 |
| Ghs community re-entry 15 minutes CPT 97537 | $56.46 | $102.66 | $29.73 – $53.80 | 8 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $448.80 | $816.00 | $444.98 – $2,277.00 | 9 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $448.80 | $816.00 | $132.53 – $2,277.00 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $173.80 | $316.00 | $444.98 – $2,277.00 | 9 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $278.30 | $506.00 | $132.53 – $2,277.00 | 9 |
| Ghs cricothyroidotomy CPT 31605 | $391.35 | $711.55 | $235.93 – $2,277.00 | 10 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $444.98 – $2,277.00 | 9 |
| Ghs cutdown placement under 1 yr CPT 36420 | $103.62 | $188.40 | $132.53 – $2,277.00 | 9 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $13.69 – $27.38 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | $882.42 | $1,604.40 | $245.71 – $2,277.00 | 10 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $903.45 – $2,277.00 | 10 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $224.40 | $408.00 | $278.60 – $2,277.00 | 9 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $703.13 – $2,277.00 | 10 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $215.08 – $389.29 | 8 |
| Ghs electrostagmgraphy CPT 92537 | $380.66 | $692.10 | $13.90 – $231.99 | 8 |
| Ghs elect torsion swing CPT 92546 | $266.29 | $484.17 | $128.17 – $231.99 | 8 |
| Ghs elect vertical elct CPT 92547 | $171.51 | $311.84 | $10.56 – $10.56 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $404.93 – $2,277.00 | 9 |
| Ghs excision ingrown nail CPT 11765 | $186.78 | $339.60 | $404.93 – $2,277.00 | 9 |
| Ghs eye exam CPT 92002 | not published | not published | $87.29 – $240.03 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $125.95 | $229.00 | $316.17 – $2,277.00 | 9 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.37 – $8.73 | 8 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,849.78 | $6,999.60 | $1,645.17 – $2,977.67 | 10 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Ghs fb removal - incisional CPT 10121 | $1,705.44 | $3,100.80 | $1,645.17 – $2,977.67 | 10 |
| Ghs fb removal - non-incisional CPT 20520 | $4,347.42 | $7,904.40 | $1,325.00 – $2,977.67 | 10 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $49.50 | $90.00 | $6.28 – $12.56 | 8 |
| Ghs fish cytogen CPT 88271 | $250.80 | $456.00 | $19.28 – $38.56 | 8 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $719.40 | $1,308.00 | $46.07 – $92.14 | 8 |
| Ghs flow volume loop CPT 94375 | not published | not published | $41.88 – $389.29 | 8 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $215.08 – $2,277.00 | 10 |
| Ghs hcv amplificaiton CPT 87521 | $638.55 | $1,161.00 | $31.58 – $63.16 | 8 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $20.67 – $41.35 | 8 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $13.94 – $27.88 | 8 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $8.52 – $17.05 | 8 |
| Ghs histoplasma antigen CPT 87385 | $218.35 | $397.00 | $11.93 – $23.85 | 8 |
| Ghs HIV antibody CPT 86703 | $265.10 | $482.00 | $12.34 – $24.68 | 8 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $95.53 – $191.05 | 8 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $5,829.78 | $10,599.60 | $1,778.00 – $3,768.77 | 10 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,845.16 | $6,991.20 | $1,191.98 – $2,277.00 | 10 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,947.66 | $3,541.20 | $705.37 – $2,277.00 | 9 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $735.90 | $1,338.00 | $705.37 – $2,277.00 | 9 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $26.93 – $53.86 | 8 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $918.06 | $1,669.20 | $248.88 – $2,277.00 | 10 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $182.88 | $332.50 | $198.83 – $2,277.00 | 10 |
| Ghs inf midline insertion CPT 36140 | $310.86 | $565.20 | $1,351.00 – $2,277.00 | 2 |
| Ghs inhibitor screen CPT 85335 | $299.75 | $545.00 | $11.58 – $23.17 | 8 |
| Ghs init tx 1st degree burn CPT 16000 | $106.26 | $193.20 | $199.85 – $2,277.00 | 9 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $5,291.88 | $9,621.60 | $881.03 – $2,277.00 | 10 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,020.26 | $3,673.20 | $881.03 – $2,277.00 | 10 |
| Ghs inj tendon origin/insertion CPT 20551 | $56.63 | $102.96 | $305.76 – $2,277.00 | 10 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,001.88 | $1,821.60 | $881.03 – $2,277.00 | 10 |
| Ghs insertion of needle - bone CPT 36680 | $1,254.66 | $2,281.20 | $444.98 – $2,277.00 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,596.54 | $2,902.80 | $404.93 – $2,277.00 | 10 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,710.72 | $3,110.40 | $736.19 – $2,277.00 | 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.