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 |
|---|---|---|---|---|
| Incision of palm tendon CPT 26450 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Incision of prostate CPT 52450 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Incision of rectal abscess CPT 46060 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Incision of sperm duct CPT 55200 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Incision of stomach nerves CPT 64755 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Incision of tendon sheath CPT 25000 | $776.05 | $1,411.00 | $1,601.73 – $2,899.06 | 10 |
| Incision of thigh CPT 27448 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Incision of thigh CPT 27450 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Incision of thigh tendon CPT 27306 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Incision of thigh tendon CPT 27390 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Incision of thigh tendons CPT 27307 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Incision of thigh tendons CPT 27391 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Incision of thigh tendons CPT 27392 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Incision of tibia CPT 27705 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,778.00 – $23,146.94 | 10 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Incision of tongue fold CPT 41010 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Incision of urethra CPT 53000 | not published | not published | $1,325.00 – $3,768.77 | 10 |
| Incision of urethra CPT 53010 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Incision of urethra CPT 53020 | not published | not published | $1,325.00 – $3,768.77 | 10 |
| Incision of urethra CPT 53025 | not published | not published | $2,082.24 – $3,768.77 | 9 |
| Incision of vagus nerve CPT 64760 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Incision of windpipe CPT 31601 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Incision of windpipe CPT 31610 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Incision of wrist capsule CPT 25085 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Incision secondary cataract CPT 66820 | not published | not published | $1,325.00 – $4,160.79 | 10 |
| Incision tendon sheath CPT 26055 | $376.75 | $685.00 | $1,601.73 – $2,899.06 | 10 |
| Incisn of toe tndn CPT 28010 | $4,352.04 | $7,912.80 | $1,601.73 – $2,899.06 | 9 |
| Incisn windpipe CPT 31600 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.26 – $9.51 | 8 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $1,778.00 – $3,233.00 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $2,277.00 – $5,836.23 | 10 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $2,277.00 – $5,836.23 | 10 |
| Induction of vomiting CPT 99175 | $38.91 | $70.74 | $27.60 – $27.60 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $63.18 – $126.36 | 8 |
| Infect ag drug suscept pheno predict CPT 87900 | $344.85 | $627.00 | $117.32 – $234.63 | 8 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $13.50 – $27.00 | 8 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $12.72 – $25.43 | 8 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $231.71 – $463.41 | 8 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $647.90 | $1,178.00 | $231.71 – $463.41 | 8 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $141.90 | $258.00 | $115.86 – $231.71 | 8 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $724.35 | $1,317.00 | $231.71 – $463.41 | 8 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $29.49 – $58.99 | 8 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $31.30 – $63.52 | 8 |
| Infect ag ia optc obs influenza CPT 87804 | $52.80 | $96.00 | $14.90 – $29.79 | 8 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $10.78 – $21.56 | 8 |
| Infect ag if hep delta agent CPT 87380 | $148.50 | $270.00 | $16.52 – $33.05 | 8 |
| Infect ag if influenza a CPT 87276 | not published | not published | $14.46 – $28.93 | 8 |
| Infect ag if influenza b CPT 87275 | not published | not published | $11.03 – $22.05 | 8 |
| Infect ag if legionella pneumophila CPT 87278 | $206.80 | $376.00 | $14.04 – $28.08 | 8 |
| Infect ag if nos ea CPT 87299 | not published | not published | $14.49 – $28.98 | 8 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $10.78 – $21.56 | 8 |
| Infect ag if varicella zoster CPT 87290 | $69.85 | $127.00 | $12.08 – $24.16 | 8 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $48.12 – $96.25 | 8 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $31.58 – $63.16 | 8 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $38.56 – $77.11 | 8 |
| Infect ag na hpv high-risk types CPT 87624 | $87.45 | $159.00 | $31.58 – $63.16 | 8 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $245.30 | $446.00 | $86.22 – $172.44 | 8 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $46.18 – $92.36 | 8 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $112.20 | $204.00 | $46.05 – $92.36 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $946.00 | $1,720.00 | $375.10 – $750.20 | 8 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $439.79 – $879.59 | 8 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $23.46 – $46.93 | 8 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $37.37 – $74.48 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $103.40 | $188.00 | $10.78 – $21.56 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $157.85 | $287.00 | $12.08 – $24.16 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $34.65 | $63.00 | $12.44 – $24.88 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $47.85 | $87.00 | $10.78 – $21.56 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $103.40 | $188.00 | $12.94 – $25.88 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $55.00 | $100.00 | $9.30 – $18.59 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $78.10 | $142.00 | $9.30 – $18.59 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $95.15 | $173.00 | $21.67 – $43.34 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $88.00 | $160.00 | $10.78 – $21.56 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $174.90 | $318.00 | $10.78 – $21.56 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $72.05 | $131.00 | $10.78 – $21.56 | 8 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $307.45 | $559.00 | $31.58 – $63.16 | 8 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $143.00 | $260.00 | $31.58 – $63.16 | 8 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $190.85 | $347.00 | $33.54 – $67.09 | 8 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $763.95 | $1,389.00 | $375.10 – $750.20 | 8 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $231.00 | $420.00 | $31.58 – $63.16 | 8 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $89.65 | $163.00 | $31.58 – $63.16 | 8 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $157.85 | $287.00 | $37.51 – $75.02 | 8 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $151.25 | $275.00 | $31.58 – $63.16 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $85.80 | $156.00 | $46.18 – $92.36 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $307.45 | $559.00 | $128.44 – $256.73 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $339.35 | $617.00 | $128.44 – $256.73 | 8 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $31.58 – $63.16 | 8 |
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.