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 |
|---|---|---|---|---|
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.15 – $0.15 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $507.84 – $919.17 | 8 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $3,281.82 | $5,966.95 | $881.03 – $2,277.00 | 10 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $40.70 | $74.00 | $199.85 – $2,277.00 | 9 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $199.85 – $2,277.00 | 9 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $13.19 – $23.87 | 8 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $50.94 – $92.19 | 8 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.93 – $3.49 | 8 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.60 – $4.96 | 8 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.57 – $2.87 | 8 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $20.22 – $36.59 | 8 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.33 – $2.42 | 8 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.81 – $41.28 | 8 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $4.05 – $12.30 | 8 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.45 – $5.45 | 1 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,217,509.81 – $5,823,547.17 | 8 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $335.12 – $606.55 | 8 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.27 – $42.11 | 8 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,052.75 – $5,525.35 | 8 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $104.32 – $188.82 | 8 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $797.07 – $1,442.66 | 8 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.21 – $4.00 | 8 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.75 – $1.75 | 1 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $32.48 – $58.78 | 8 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $257.11 – $465.36 | 8 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $26.33 – $47.66 | 8 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $680.83 – $1,232.82 | 8 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,341.12 | $2,438.40 | $694.58 – $2,277.00 | 10 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.15 – $3.90 | 8 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $93.79 – $169.75 | 8 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $2,055.25 – $5,340.00 | 10 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $2,055.25 – $5,340.00 | 10 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $31.77 – $57.50 | 8 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.40 – $1.40 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $402.72 – $728.90 | 9 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $4.19 – $4.19 | 1 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.16 – $7.54 | 8 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,547,666.28 – $4,824,067.29 | 8 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $20.87 – $37.78 | 8 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $54.93 – $99.41 | 8 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $70.95 – $128.42 | 8 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $565.51 – $1,110.07 | 8 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $100.47 – $181.85 | 9 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $96.25 – $174.20 | 8 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $148.12 – $268.10 | 8 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $26.19 – $237.77 | 8 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $37.30 – $67.51 | 8 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $7.95 – $14.39 | 8 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.68 – $17.52 | 8 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $11.18 – $11.18 | 1 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.72 – $5.30 | 8 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $7.57 – $19.77 | 8 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $6,978.51 – $6,978.51 | 1 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $67.56 – $122.28 | 8 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.14 – $21.97 | 8 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $34.47 – $69.16 | 8 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.50 – $6.33 | 8 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Inj proc elbow arthro CPT 24220 | $161.70 | $294.00 | $1,351.00 – $2,277.00 | 2 |
| Inj proc for lymphang CPT 38790 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Inj proc lumbr disk ea lvl CPT 62290 | $446.82 | $812.40 | $1,351.00 – $2,277.00 | 2 |
| Inj proc myelogram lumbar CPT 62284 | $613.14 | $1,114.80 | $1,351.00 – $2,277.00 | 2 |
| Inj proc sialogram CPT 42550 | $142.56 | $259.20 | $1,351.00 – $2,277.00 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.28 – $4.13 | 8 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.31 – $0.56 | 8 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.80 – $0.80 | 1 |
| Inj retro urethrocysto CPT 51610 | $546.48 | $993.60 | $1,351.00 – $2,277.00 | 2 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $13.21 – $23.92 | 8 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $12,368.05 – $22,596.68 | 8 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $30.23 – $60.46 | 8 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $12.96 – $23.45 | 8 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $404.93 – $2,277.00 | 9 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $404.93 – $2,277.00 | 9 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.06 – $3.89 | 8 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $536.63 – $971.28 | 8 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $42.76 – $77.40 | 8 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $18.13 – $32.82 | 8 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $0.69 – $2.01 | 8 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $65.12 – $118.31 | 8 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $404.93 – $2,277.00 | 9 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $74.38 – $134.63 | 8 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $19.22 – $35.36 | 9 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $355.56 – $643.54 | 8 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $42.44 – $76.82 | 8 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $34.50 – $63.58 | 8 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.92 – $3.75 | 8 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $39.00 – $70.59 | 9 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $367.93 – $683.82 | 9 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $123.59 – $223.69 | 8 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $57.85 – $104.70 | 8 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $163.91 – $296.67 | 9 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $4.99 – $9.02 | 8 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $195.66 – $354.14 | 8 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $19.08 – $34.70 | 8 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.37 – $18.77 | 8 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,722.82 – $6,875.88 | 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.