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 |
|---|---|---|---|---|
| Intracranial vessel surgery CPT 61682 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Intranasal reconstruction CPT 30620 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $2,652.12 – $10,988.00 | 3 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $639.17 – $1,351.00 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $537.23 – $2,277.00 | 10 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $86.69 – $156.90 | 8 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $108.68 – $394.80 | 8 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $439.46 – $2,277.00 | 10 |
| Intraventricular pacing CPT 93612 | not published | not published | $112.37 – $14,062.06 | 9 |
| Intrinsic factor antibody CPT 86340 | $114.40 | $208.00 | $13.57 – $27.14 | 8 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $95.38 – $240.03 | 8 |
| Intro cath dialysis circuit CPT 36901 | $2,528.38 | $4,597.05 | $1,568.02 – $2,838.05 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | $4,285.02 | $7,790.95 | $5,669.40 – $13,080.00 | 9 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $12,826.00 | $23,320.00 | $2,277.00 – $20,813.09 | 9 |
| Intro catheter aorta CPT 36200 | $2,012.34 | $3,658.80 | $1,351.00 – $2,277.00 | 2 |
| Intro cath svc/ivc CPT 36010 | $267.96 | $487.20 | $1,351.00 – $2,277.00 | 2 |
| Intro long gi tube CPT 44500 | $535.92 | $974.40 | $903.45 – $2,277.00 | 10 |
| Intro long gi tube w/mult fluo CPT 74340 | $380.82 | $692.40 | $180.71 – $180.71 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,325.00 – $3,208.99 | 10 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,295.56 | $4,173.74 | $1,351.00 – $2,277.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,759.83 | $3,199.69 | $1,351.00 – $2,277.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $658.87 | $1,197.95 | $235.93 – $2,277.00 | 10 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $84.23 – $84.23 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $31.80 – $106.36 | 8 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $221.09 – $713.38 | 8 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $37.18 – $67.29 | 8 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $57.77 – $57.77 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $547.00 – $547.00 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $189.38 – $342.78 | 9 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $274.45 | $499.00 | not published | 0 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $260.15 | $473.00 | not published | 0 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $333.30 | $606.00 | not published | 0 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $71.50 | $130.00 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.50 – $118.55 | 8 |
| Iron CPT 83540 | $193.05 | $351.00 | $5.82 – $11.65 | 8 |
| Iron binding capacity CPT 83550 | $66.00 | $120.00 | $7.87 – $15.73 | 8 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.44 – $34.19 | 8 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.19 – $12.38 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | $114.40 | $208.00 | $30.46 – $67.34 | 8 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $229.68 | $417.60 | $41.18 – $106.36 | 8 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $58.76 – $2,277.00 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $84.11 – $158.69 | 8 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,778.00 – $3,719.90 | 10 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $282.73 – $1,147.93 | 8 |
| Ivc venogram s&i CPT 75825 | $3,204.30 | $5,826.00 | $157.32 – $5,692.64 | 8 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $227.70 | $414.00 | $53.61 – $129.81 | 8 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $227.70 | $414.00 | $31.97 – $31.97 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $209.00 | $380.00 | $37.02 – $84.42 | 8 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $322.85 | $587.00 | $124.38 – $383.48 | 8 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $76.28 – $720.75 | 8 |
| IV njx tst vasc flo flap/grf CPT 15860 | $147.95 | $269.00 | $444.98 – $2,277.00 | 9 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $174.72 – $316.23 | 8 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $780.12 | $1,418.40 | $149.06 – $316.23 | 8 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $138.99 – $251.56 | 8 |
| Jak2 targeted sequence analysis CPT 81279 | $612.70 | $1,114.00 | $166.68 – $333.36 | 8 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| John cunningham antibody CPT 86711 | $165.00 | $300.00 | $15.20 – $30.40 | 8 |
| J-tube placement CPT 44015 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Keratomileusis CPT 65760 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $2,277.00 – $26,153.15 | 9 |
| Ketamine and metabolite screen - quest CPT 80357 | $169.40 | $308.00 | $23.35 – $23.35 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $13.92 – $27.85 | 8 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $61.05 | $111.00 | $7.35 – $14.71 | 8 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.28 – $0.51 | 8 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Kidney endoscopy CPT 50575 | not published | not published | $2,277.00 – $9,666.82 | 9 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,325.00 – $17,067.14 | 10 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,325.00 – $17,067.14 | 10 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,277.00 – $17,067.14 | 9 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,277.00 – $9,666.82 | 9 |
| Kidney function study CPT 78725 | not published | not published | $155.88 – $720.75 | 8 |
| Kidney imaging morphology CPT 78700 | $498.30 | $906.00 | $259.78 – $720.75 | 8 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $504.92 – $978.92 | 8 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,061.94 | $1,930.80 | $311.43 – $978.92 | 8 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $498.85 | $907.00 | $104.14 – $188.49 | 8 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $80.41 | $146.20 | $75.10 – $75.10 | 1 |
| Kit gene analys d816 variant CPT 81273 | $228.25 | $415.00 | $112.38 – $224.77 | 8 |
| Kit lead specify 5-6-5 HCPCS C1778 | $2,076.61 | $3,775.66 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $831.69 | $1,512.17 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $21.98 – $224.36 | 8 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,601.73 – $7,852.00 | 10 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,601.73 – $7,852.00 | 10 |
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.