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 |
|---|---|---|---|---|
| Lap enterectomy 44202 CPT 44202 | not published | not published | $2,277.00 – $5,246.00 | 2 |
| Lap enterolysis CPT 44180 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $6,120.00 – $7,496.00 | 2 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $6,120.00 – $7,496.00 | 2 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $2,277.00 – $20,089.23 | 10 |
| Lap inc hernia repair 49654 CPT 49654 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Lap inc hernia repair recurr 49656 CPT 49656 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Lap inc hern recur comp 49657 CPT 49657 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Lap inc hern repair comp 49655 CPT 49655 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $5,257.00 – $10,899.52 | 10 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $5,257.00 – $10,899.52 | 10 |
| Lap ins device for right CPT 49327 | not published | not published | $1,351.00 – $5,340.00 | 3 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Lap myotomy heller CPT 43279 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $5,257.00 – $19,164.59 | 9 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $5,257.00 – $19,164.59 | 9 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Lap place gastr adj device CPT 43770 | not published | not published | $6,120.00 – $19,164.59 | 9 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Lap radical hyst CPT 58548 | not published | not published | $2,277.00 – $13,350.00 | 2 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $5,246.00 – $10,899.52 | 9 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $2,277.00 – $5,246.00 | 2 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $4,373.00 – $7,496.00 | 2 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $3,840.46 – $7,496.00 | 9 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $3,840.46 – $7,496.00 | 9 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $2,277.00 – $19,164.59 | 9 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $2,277.00 – $19,164.59 | 9 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $6,120.00 – $7,496.00 | 2 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $2,277.00 – $19,164.59 | 9 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $6,198.00 – $19,164.59 | 9 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $2,277.00 – $19,164.59 | 9 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $2,277.00 – $13,350.00 | 2 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $1,351.00 – $5,340.00 | 3 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $2,277.00 – $6,721.86 | 10 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,772.97 – $3,962.00 | 10 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $389.60 – $2,277.00 | 10 |
| Largsc w/ther injection CPT 31573 | not published | not published | $1,772.97 – $3,962.00 | 10 |
| Laronidase injection HCPCS J1931 | not published | not published | $40.94 – $74.68 | 9 |
| Laryngeal function studies CPT 92520 | not published | not published | $73.07 – $239.87 | 8 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $59.70 – $59.70 | 1 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $53.12 – $96.14 | 8 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $2,277.00 – $12,723.94 | 10 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $854.81 | $1,554.20 | $1,325.00 – $3,208.99 | 10 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,325.00 – $6,721.86 | 10 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $389.60 – $2,277.00 | 10 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $2,034.00 – $6,721.86 | 10 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $2,034.00 – $6,721.86 | 10 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $2,034.00 – $6,721.86 | 10 |
| Laryngoscopy w/fb removal CPT 31530 | $2,821.50 | $5,130.00 | $1,772.97 – $3,208.99 | 10 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $1,772.97 – $3,208.99 | 10 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $389.60 – $2,277.00 | 10 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $2,277.00 – $12,723.94 | 10 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $2,277.00 – $6,721.86 | 10 |
| Laser surgery eye strands CPT 67031 | not published | not published | $547.86 – $2,277.00 | 10 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $1,778.00 – $5,836.23 | 10 |
| Laser surgery of prostate CPT 52647 | not published | not published | $2,277.00 – $5,340.00 | 3 |
| Laser surgery of prostate CPT 52648 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,325.00 – $3,719.90 | 10 |
| Laser treatment of retina CPT 67039 | not published | not published | $2,277.00 – $7,452.17 | 10 |
| Laser treatment of retina CPT 67040 | not published | not published | $2,277.00 – $7,452.17 | 10 |
| Lateral canthopexy CPT 21282 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Lat retinacular release open CPT 27425 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $235.93 – $2,277.00 | 9 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Lb with mastopexy 15839 CPT 15839 | $982.85 | $1,787.00 | $2,034.00 – $5,236.93 | 10 |
| Lead capillary CPT 83655 | $121.00 | $220.00 | $10.90 – $21.80 | 8 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $579.42 | $1,053.50 | not published | 0 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $415.95 – $752.85 | 8 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $1,042.96 | $1,896.30 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,277.00 – $10,672.90 | 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.