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 |
|---|---|---|---|---|
| Idh1 common variants CPT 81120 | not published | not published | $173.93 – $347.85 | 8 |
| Idh2 common variants CPT 81121 | not published | not published | $266.21 – $532.42 | 8 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| I&d lacrimal gland CPT 68400 | not published | not published | $993.00 – $2,277.00 | 10 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,922.00 – $4,286.38 | 10 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Idursulfase injection HCPCS J1743 | not published | not published | $566.91 – $1,026.08 | 9 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,277.00 – $5,236.93 | 9 |
| Ifnl3 gene CPT 81283 | not published | not published | $66.03 – $132.07 | 8 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $186.58 – $373.16 | 8 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $61.70 – $123.39 | 8 |
| Igh gene rearrange amp meth CPT 81261 | $216.70 | $394.00 | $178.19 – $356.38 | 8 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $265.07 – $530.14 | 8 |
| Igk rearrangeabn clonal pop CPT 81264 | $211.20 | $384.00 | $155.46 – $310.91 | 8 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $80.30 | $146.00 | $58.73 – $74.11 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $105.60 | $192.00 | $124.44 – $646.24 | 8 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $469.70 | $854.00 | $118.29 – $307.16 | 8 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $13.65 – $13.65 | 1 |
| Ikbkap gene CPT 81260 | not published | not published | $35.38 – $70.76 | 8 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $21.76 – $21.76 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $4,174.78 | $7,590.50 | $13,080.00 – $14,326.00 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $58.80 – $107.16 | 8 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $22.65 – $106.36 | 8 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $23.75 – $67.34 | 8 |
| Img rta detc/mntr ds poc aly CPT 92229 | $39.76 | $72.29 | $58.76 – $106.36 | 8 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $33.09 – $33.09 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $61.05 – $61.05 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $73.83 – $73.83 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,778.00 – $14,735.85 | 10 |
| Immune complex assay CPT 86332 | $85.25 | $155.00 | $21.93 – $43.87 | 8 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $49.03 – $88.75 | 8 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.52 – $145.73 | 8 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $46.80 – $84.70 | 8 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $88.00 | $160.00 | $18.73 – $37.46 | 8 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $88.55 | $161.00 | $18.73 – $37.46 | 8 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $23.01 – $46.03 | 8 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $13.75 | $25.00 | $10.78 – $21.56 | 8 |
| Immunodiffusion nes CPT 86329 | not published | not published | $12.65 – $25.29 | 8 |
| Immunofixation electrophoresis serum CPT 86334 | $36.30 | $66.00 | $20.11 – $40.21 | 8 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $76.45 | $139.00 | $70.32 – $73.17 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $218.90 | $398.00 | $108.95 – $307.16 | 8 |
| Immunoglobulin assay CPT 86023 | $112.20 | $204.00 | $11.21 – $22.43 | 8 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $23.81 – $23.81 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $40.78 – $239.87 | 8 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $6,198.00 – $31,611.83 | 8 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $1,040.79 – $1,883.79 | 8 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $2,277.00 – $29,677.33 | 9 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $2,277.00 – $59,445.64 | 10 |
| Implant eye drug system CPT 67027 | not published | not published | $2,277.00 – $25,155.87 | 10 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $444.98 – $2,277.00 | 9 |
| Implant nerve end CPT 64787 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $2,277.00 – $34,976.58 | 10 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,325.00 – $20,089.23 | 10 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $2,277.00 – $11,489.91 | 9 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $2,034.00 – $11,489.91 | 10 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $2,034.00 – $55,633.53 | 10 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $154.53 – $1,711.15 | 8 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $2,034.00 – $5,246.00 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Implant spine infusion pump CPT 62361 | not published | not published | $1,778.00 – $32,495.31 | 10 |
| Implant spine infusion pump CPT 62362 | not published | not published | $1,778.00 – $32,495.31 | 10 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Impl neurostim electr perc CPT 63650 | $4,950.69 | $9,001.25 | $2,277.00 – $11,489.91 | 10 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $293.15 | $533.00 | $1,351.00 – $2,277.00 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,778.00 – $15,822.03 | 10 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $2,277.00 – $7,452.17 | 9 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $297.10 – $537.73 | 8 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $2,277.00 – $5,977.46 | 9 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $2,277.00 – $5,977.46 | 9 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $2,277.00 – $5,977.46 | 9 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $2,277.00 – $5,977.46 | 9 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $235.93 – $2,277.00 | 9 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $2,277.00 – $5,977.46 | 9 |
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.