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 |
|---|---|---|---|---|
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $7,302.00 – $10,305.00 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Antinuclear antibodies CPT 86038 | $46.75 | $85.00 | $10.88 – $21.76 | 8 |
| Antinuclear antibodies titer CPT 86039 | $33.00 | $60.00 | $10.04 – $20.09 | 8 |
| Antiphosphatidylserine antibody CPT 86148 | $117.70 | $214.00 | $14.46 – $28.93 | 8 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.19 – $10.39 | 8 |
| Antistreptolysin o titer CPT 86060 | $35.20 | $64.00 | $6.57 – $13.14 | 8 |
| Antithrombin iii activity CPT 85300 | $302.50 | $550.00 | $10.67 – $21.33 | 8 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $4.15 – $7.51 | 8 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $4,617.07 – $9,988.13 | 8 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $1,007.28 – $1,904.02 | 8 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $119.94 – $239.87 | 8 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $27.60 – $239.87 | 8 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $453.60 – $907.20 | 8 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,215.17 – $2,430.34 | 8 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $180.00 – $360.00 | 8 |
| Apc gene full sequence CPT 81201 | $918.50 | $1,670.00 | $702.00 – $1,404.00 | 8 |
| Apc gene known fam variants CPT 81202 | not published | not published | $178.34 – $504.00 | 8 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $19.34 – $106.36 | 8 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $2,277.00 – $7,852.56 | 9 |
| Apheresis plasma CPT 36514 | $5,800.74 | $10,546.80 | $1,551.36 – $2,807.89 | 9 |
| Apheresis platelets CPT 36513 | not published | not published | $439.46 – $2,277.00 | 9 |
| Apheresis rbc CPT 36512 | $5,629.80 | $10,236.00 | $1,551.36 – $2,807.89 | 9 |
| Apheresis wbc CPT 36511 | not published | not published | $1,551.36 – $2,807.89 | 9 |
| Apl(pml-rara) quant - sendout CPT 81315 | $691.90 | $1,258.00 | $186.58 – $373.16 | 8 |
| Appendectomy CPT 44950 | $6,402.19 | $11,640.35 | $2,277.00 – $11,671.69 | 9 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $2,514.00 – $10,899.52 | 10 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $547.58 | $995.60 | $1,325.00 – $3,719.90 | 10 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,031.42 | $1,875.30 | $1,351.00 – $2,277.00 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $257.59 | $468.35 | $1,351.00 – $2,277.00 | 2 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $5,358.76 | $9,743.20 | $1,325.00 – $3,719.90 | 10 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,031.42 | $1,875.30 | $1,351.00 – $2,277.00 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $245.05 | $445.55 | $1,351.00 – $2,277.00 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $161.87 – $2,277.00 | 9 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl halo type body cast CPT 29000 | not published | not published | $278.60 – $2,277.00 | 10 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $278.60 – $2,277.00 | 9 |
| Application clubfoot cast CPT 29450 | $421.08 | $765.60 | $161.87 – $2,277.00 | 9 |
| Application finger splntstatic 29130 CPT 29130 | $289.08 | $525.60 | $132.53 – $2,277.00 | 9 |
| Application halo femoral CPT 20663 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Application halo pelvic CPT 20662 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Application long leg splint 29505 CPT 29505 | $937.20 | $1,704.00 | $161.87 – $2,277.00 | 9 |
| Application lower leg splint 29515 CPT 29515 | $412.50 | $750.00 | $161.87 – $2,277.00 | 9 |
| Application multi layer compression below knee (both sides) CPT 29581 | $752.40 | $1,368.00 | $161.87 – $2,277.00 | 9 |
| Application of body cast CPT 29010 | not published | not published | $278.60 – $2,277.00 | 9 |
| Application of body cast CPT 29015 | not published | not published | $278.60 – $2,277.00 | 9 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $278.60 – $2,277.00 | 9 |
| Application of forearm cast 29075 CPT 29075 | not published | not published | $278.60 – $2,277.00 | 9 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $278.60 – $2,277.00 | 9 |
| Application of long leg cast CPT 29355 | not published | not published | $278.60 – $2,277.00 | 9 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $278.60 – $2,277.00 | 9 |
| Application of paste boot 29580 CPT 29580 | $448.80 | $816.00 | $161.87 – $2,277.00 | 9 |
| Application short leg cast 29405 CPT 29405 | $269.28 | $489.60 | $278.60 – $2,277.00 | 9 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $3,000.72 | $5,455.85 | $736.19 – $2,277.00 | 10 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,758.28 | $5,015.05 | $736.19 – $2,277.00 | 10 |
| Appl long leg cast brace CPT 29358 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $2,034.00 – $23,146.94 | 10 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $59.28 | $107.79 | $5.81 – $10.51 | 8 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $62.11 | $112.92 | $11.61 – $21.01 | 8 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $37.21 – $67.34 | 8 |
| Appl multlay comprs arm/hand CPT 29584 | $467.28 | $849.60 | $161.87 – $2,277.00 | 9 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $278.60 – $2,277.00 | 9 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Apply finger cast 29086 CPT 29086 | $95.70 | $174.00 | $161.87 – $2,277.00 | 9 |
| Apply forearm splintdynamic 29126 CPT 29126 | $426.36 | $775.20 | $132.53 – $2,277.00 | 9 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $1,351.00 – $2,899.06 | 9 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $161.87 – $2,277.00 | 9 |
| Apply interstit radiat compl CPT 77778 | $7,309.59 | $13,290.16 | $474.69 – $1,255.68 | 8 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $464.14 – $1,255.68 | 8 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $360.03 – $996.18 | 8 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $313.20 – $996.18 | 8 |
| Apply of finger splint 29131 CPT 29131 | $189.42 | $344.40 | $58.76 – $2,277.00 | 9 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,601.73 – $2,899.06 | 9 |
| Apply rigid leg cast 29445 CPT 29445 | $524.04 | $952.80 | $278.60 – $2,277.00 | 9 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $278.60 – $2,277.00 | 9 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $99.04 – $183.95 | 8 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $2,277.00 – $48,920.09 | 10 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,601.73 – $3,962.00 | 10 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $2,055.25 – $3,719.90 | 9 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $2,055.25 – $3,719.90 | 9 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.58 – $2.86 | 8 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $31.58 – $63.16 | 8 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $10.85 – $67.91 | 8 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $10.85 – $21.69 | 8 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $10.38 – $20.75 | 8 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $80.18 | $145.78 | $34.02 – $61.58 | 8 |
| Aquatic exercise - group charge CPT 97150 | $203.26 | $369.57 | $17.55 – $31.77 | 8 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $2,277.00 – $9,593.81 | 10 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $2,277.00 – $9,593.81 | 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.