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 |
|---|---|---|---|---|
| Hemoglobin-oxygen affinity CPT 82820 | $81.95 | $149.00 | $12.01 – $24.01 | 8 |
| Hemoglobin plasma CPT 83051 | $33.55 | $61.00 | $6.58 – $13.16 | 8 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $8.10 – $16.20 | 8 |
| Hemoglobin urine CPT 83069 | $73.15 | $133.00 | $3.56 – $7.11 | 8 |
| Hemolysin acid CPT 85475 | $163.90 | $298.00 | $7.98 – $15.97 | 8 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $7.89 – $15.79 | 8 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $10.90 – $21.80 | 8 |
| Hemoperfusion CPT 90997 | not published | not published | $161.72 – $161.72 | 1 |
| Hemophilus influenza antibdy CPT 86684 | $90.75 | $165.00 | $14.26 – $28.51 | 8 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,277.00 – $5,004.26 | 10 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $926.34 – $2,277.00 | 10 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,277.00 – $5,004.26 | 10 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $65.25 – $118.10 | 8 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $65.25 – $118.10 | 8 |
| Heparin assay CPT 85520 | $190.30 | $346.00 | $11.78 – $23.56 | 8 |
| Heparin neutralization CPT 85525 | $97.90 | $178.00 | $10.66 – $21.31 | 8 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $11.78 – $23.56 | 8 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Hepatitis a antibody igm CPT 86709 | $94.60 | $172.00 | $10.13 – $20.27 | 8 |
| Hepatitis b core antibody igm CPT 86705 | $74.25 | $135.00 | $10.59 – $21.19 | 8 |
| Hepatitis b core antibody total CPT 86704 | $83.05 | $151.00 | $10.85 – $21.69 | 8 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $136.20 – $246.51 | 8 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $13.55 – $45.58 | 8 |
| Hepatitis b surface antibody CPT 86706 | $50.05 | $91.00 | $9.67 – $19.33 | 8 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $149.20 – $149.20 | 1 |
| Hepatitis c antibody CPT 86803 | $46.75 | $85.00 | $12.84 – $25.69 | 8 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $28.10 – $56.20 | 8 |
| Hepatitis d quantification CPT 87523 | not published | not published | $38.56 – $77.11 | 8 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $35.33 – $70.67 | 8 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $26.82 – $53.64 | 8 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $37.58 – $75.17 | 8 |
| Hepatobiliary system imaging CPT 78226 | $869.22 | $1,580.40 | $398.21 – $720.75 | 8 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $78.25 – $78.25 | 1 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $167.64 – $167.64 | 1 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $526.41 – $2,347.11 | 8 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $395.04 – $2,347.11 | 8 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $538.12 – $1,076.24 | 8 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $2,277.00 – $6,455.13 | 10 |
| Herpes simplex 1 ag if CPT 87274 | $48.95 | $89.00 | $10.78 – $21.56 | 8 |
| Herpes simplex 2 ag if CPT 87273 | $48.95 | $89.00 | $10.78 – $21.56 | 8 |
| Herpes simplex type 1 antibody igg CPT 86695 | $216.70 | $394.00 | $11.87 – $23.74 | 8 |
| Herpes simplex type 2 antibody igg CPT 86696 | $216.70 | $394.00 | $17.42 – $34.83 | 8 |
| Herpes simplex virus isolation CPT 87255 | $37.40 | $68.00 | $30.47 – $60.95 | 8 |
| Heterophile antibodies screening CPT 86308 | $86.35 | $157.00 | $4.66 – $9.32 | 8 |
| Heterophile antibodies titer CPT 86309 | $109.45 | $199.00 | $5.82 – $11.65 | 8 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $6.63 – $13.27 | 8 |
| Hexa gene CPT 81255 | not published | not published | $46.31 – $92.61 | 8 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $5.84 – $11.68 | 8 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $52.20 – $104.40 | 8 |
| Hhv-6 dna quant CPT 87533 | $255.20 | $464.00 | $37.58 – $75.17 | 8 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,601.73 – $5,110.00 | 9 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $41.50 – $183.16 | 8 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Hip X-ray CPT 73502 | $308.88 | $561.60 | $48.49 – $156.90 | 8 |
| Histamine CPT 83088 | $183.15 | $333.00 | $13.61 – $53.15 | 8 |
| Histochemical stains add-on CPT 88314 | $113.30 | $206.00 | $71.92 – $94.65 | 2 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $10.56 – $67.34 | 8 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $21.65 – $43.31 | 8 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $19.73 – $39.46 | 8 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $19.71 – $39.42 | 8 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $19.73 – $39.46 | 8 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $52.76 – $105.52 | 8 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $15.04 – $67.55 | 8 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.03 – $128.57 | 8 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.45 – $0.82 | 8 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.25 – $13.13 | 8 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.46 – $26.79 | 8 |
| Hla class i high defin qual CPT 86832 | not published | not published | $291.38 – $582.75 | 8 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $293.22 – $586.44 | 8 |
| Hla class i&ii antibody qual CPT 86828 | $246.40 | $448.00 | $57.77 – $115.54 | 8 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $57.77 – $115.54 | 8 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $73.69 – $147.38 | 8 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $290.66 – $581.33 | 8 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $85.97 – $171.94 | 8 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $321.80 – $643.61 | 8 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $364.07 – $728.14 | 8 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $311.01 – $622.03 | 8 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $361.91 – $723.82 | 8 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $111.31 – $222.62 | 8 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $198.67 – $397.33 | 8 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $66.90 – $133.79 | 8 |
| Hla i typing 1 locus hr CPT 81380 | $357.50 | $650.00 | $159.53 – $319.05 | 8 |
| Hla i typing complete hr CPT 81379 | not published | not published | $301.84 – $603.68 | 8 |
| Hla i typing complete lr CPT 81372 | not published | not published | $363.23 – $726.46 | 8 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $105.60 | $192.00 | $152.91 – $305.82 | 8 |
| Hla i typing low res one locus ea CPT 81373 | $210.10 | $382.00 | $114.69 – $229.37 | 8 |
| Hla typing a b or c CPT 86813 | not published | not published | $52.20 – $104.40 | 8 |
| Hla typing dr/dq CPT 86816 | not published | not published | $27.15 – $54.31 | 8 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $23.94 – $65.75 | 8 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $71.82 – $197.08 | 8 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $101.19 – $183.16 | 8 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $37.32 – $67.55 | 8 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | not published | not published | $52.45 – $52.45 | 1 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | not published | not published | $143.69 – $143.69 | 1 |
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.