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 |
|---|---|---|---|---|
| Insert tunneled cv cath CPT 36563 | not published | not published | $2,034.00 – $10,032.25 | 10 |
| Insert ureteral support CPT 50605 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $1,325.00 – $37,367.25 | 10 |
| Insert uteri tandem/ovoids CPT 57155 | $1,678.08 | $3,051.06 | $1,778.00 – $14,491.00 | 10 |
| Insert vad art access left hrt arterial access CPT 33990 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ins icd gen exist mlt leads CPT 33231 | $27,770.35 | $50,491.55 | $2,277.00 – $56,591.17 | 9 |
| Ins icd gen exist sgl lead CPT 33240 | $27,891.57 | $50,711.95 | $2,277.00 – $40,103.08 | 9 |
| Insitu hybridization auto CPT 88367 | $250.80 | $456.00 | $262.13 – $646.24 | 8 |
| Insitu hybridization (fish) CPT 88366 | $632.50 | $1,150.00 | $169.71 – $307.16 | 8 |
| Insitu hybridization manual CPT 88368 | $158.95 | $289.00 | $262.13 – $646.24 | 8 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $72.05 | $131.00 | $98.60 – $113.45 | 2 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $214.50 | $390.00 | $134.24 – $307.16 | 8 |
| Insj biomechanical device CPT 22859 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Insj perq vad r hrt venous CPT 33995 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | $2,277.00 – $79,411.66 | 9 |
| Insj phrnc nrv stim transvns CPT 33277 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $1,325.00 – $4,286.38 | 10 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $2,277.00 – $31,611.83 | 9 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ins lv lead exist pm/icd CPT 33224 | $12,395.79 | $22,537.80 | $2,277.00 – $18,843.97 | 9 |
| Ins mark abd/pel for right perq CPT 49411 | not published | not published | $1,378.74 – $2,495.46 | 10 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $1,378.74 – $2,857.00 | 10 |
| Ins picad w subq port 5yr> CPT 36571 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $624.86 – $2,277.00 | 10 |
| Ins pm gen exist dual lead CPT 33230 | $27,770.35 | $50,491.55 | $2,277.00 – $40,103.08 | 9 |
| Ins pm gen w/exist mlt leads CPT 33221 | $9,503.23 | $17,278.60 | $2,277.00 – $34,727.02 | 9 |
| Ins pq tunnld ip cath w/img CPT 49418 | $10,035.96 | $18,247.20 | $2,277.00 – $6,455.13 | 10 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $2,277.00 – $20,089.23 | 9 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $1,778.00 – $55,633.53 | 10 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $22,187.96 | $40,341.75 | $2,277.00 – $34,727.02 | 9 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,296.84 | $16,903.35 | $2,277.00 – $18,843.97 | 10 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $8,677.16 | $15,776.65 | $2,277.00 – $14,919.75 | 10 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $10,836.13 | $19,702.05 | $2,277.00 – $18,843.97 | 9 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $1,778.00 – $34,976.58 | 10 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $6,682.25 | $12,149.55 | $2,277.00 – $51,713.39 | 9 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $1,778.00 – $55,633.53 | 10 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Install spinal shunt CPT 63740 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $2,277.00 – $15,822.03 | 9 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $624.86 – $2,277.00 | 10 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $624.86 – $2,277.00 | 10 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $589.38 | $1,071.60 | $694.58 – $2,277.00 | 10 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.82 – $0.82 | 1 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $1,219.22 – $2,206.74 | 8 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $248.88 – $2,277.00 | 10 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $4.18 – $7.57 | 8 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $2,277.00 – $10,032.25 | 10 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $1,778.00 – $10,032.25 | 10 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,762.56 | $8,659.20 | $1,778.00 – $5,692.64 | 10 |
| Ins tun intraperit dia cath CPT 49421 | $3,758.86 | $6,834.30 | $1,325.00 – $6,455.13 | 10 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $624.86 – $2,277.00 | 10 |
| Insulin suppression panel CPT 80432 | not published | not published | $149.05 – $298.10 | 8 |
| Insulin tolerance panel CPT 80434 | not published | not published | $256.53 – $513.05 | 8 |
| Insulin tolerance panel CPT 80435 | not published | not published | $92.70 – $185.40 | 8 |
| Insulin total CPT 83525 | $191.40 | $348.00 | $10.29 – $20.57 | 8 |
| Ins vag brachytx device CPT 57156 | $441.90 | $803.45 | $303.54 – $2,277.00 | 10 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,936.42 – $1,936.42 | 1 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $37.32 – $67.55 | 8 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $128.41 – $232.41 | 8 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $128.41 – $232.41 | 8 |
| Intercalary algrft compl CPT 20934 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Interdental fixation CPT 21110 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,545.54 – $2,797.36 | 10 |
| Interdiscal perq aspir dx CPT 62267 | $1,824.90 | $3,318.00 | $705.37 – $2,277.00 | 10 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $58.96 – $58.96 | 1 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $2,335.33 – $2,335.33 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $79.75 – $79.75 | 1 |
| Intermediate visual field xm CPT 92082 | not published | not published | $45.18 – $106.36 | 8 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Interrogate subq defib CPT 93261 | not published | not published | $36.51 – $67.29 | 8 |
| Interrogation vad in person CPT 93750 | not published | not published | $80.32 – $171.40 | 8 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $16.06 – $67.29 | 8 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $24.30 – $52.15 | 8 |
| Interrog device eval heart CPT 93289 | not published | not published | $32.54 – $67.29 | 8 |
| Interrog evl pm/ldls pm ip CPT 93288 | $55.45 | $100.82 | $26.50 – $67.29 | 8 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $68.80 – $171.40 | 8 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $160.34 – $553.74 | 8 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $37.06 – $171.40 | 8 |
| Interstitial brachy inter CPT 77799 | $759.38 | $1,380.70 | not published | 0 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $2,277.00 – $5,004.26 | 9 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,325.00 – $5,004.26 | 10 |
| Intra-atrial pacing CPT 93610 | not published | not published | $94.77 – $14,062.06 | 9 |
| Intra-atrial recording CPT 93602 | not published | not published | $77.04 – $14,062.06 | 9 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $407.13 – $1,351.00 | 2 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $2,034.00 – $3,233.00 | 3 |
| Intracranial angioplasty CPT 61630 | not published | not published | $2,034.00 – $14,326.00 | 3 |
| Intracranial complete study CPT 93886 | not published | not published | $237.67 – $430.18 | 8 |
| Intracranial limited study CPT 93888 | not published | not published | $103.88 – $188.49 | 8 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,277.00 – $3,233.00 | 2 |
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.