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 |
|---|---|---|---|---|
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $5.32 | $9.68 | not published | 0 |
| Left compres band <3"/yd HCPCS A6448 | $2.62 | $4.76 | not published | 0 |
| Left compres band >=5"/yd HCPCS A6450 | $3.27 | $5.94 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $18.05 – $36.09 | 8 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $37.58 – $75.17 | 8 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $2,277.00 – $5,692.64 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $972.95 | $1,769.00 | $237.67 – $430.18 | 8 |
| Leishmania antibody CPT 86717 | not published | not published | $11.03 – $22.05 | 8 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Lengthening of palate CPT 42227 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Leukacyte transfusion CPT 86950 | not published | not published | $85.20 – $307.16 | 8 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.35 – $18.70 | 8 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $159.46 – $288.62 | 8 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,766.79 – $3,314.27 | 8 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $249.40 – $1,237.12 | 8 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $41.83 – $75.71 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $108.90 | $198.00 | $11.93 – $23.85 | 8 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $512.83 – $5,844.90 | 8 |
| Liberta rc ipg HCPCS C1820 | $17,424.14 | $31,680.25 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $101.75 | $185.00 | $13.22 – $26.44 | 8 |
| Ligate esophagus veins CPT 43400 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,778.00 – $5,692.64 | 10 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $2,358.04 | $4,287.35 | $2,277.00 – $5,836.23 | 10 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,410.42 | $2,564.40 | $1,645.17 – $2,977.67 | 10 |
| Ligation common iliac vein CPT 37660 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,778.00 – $5,692.64 | 10 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,277.00 – $5,692.64 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,277.00 – $5,692.64 | 9 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,922.00 – $5,692.64 | 9 |
| Ligation major artery chest CPT 37616 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | $2,852.33 | $5,186.05 | $2,277.00 – $3,233.00 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $1,922.00 – $5,692.64 | 9 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,778.00 – $5,692.64 | 10 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,778.00 – $5,692.64 | 10 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,277.00 – $5,692.64 | 9 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Ligation of shunt CPT 49428 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Limb exercise test CPT 95875 | not published | not published | $114.44 – $231.99 | 8 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Limited autopsy CPT 88036 | $617.10 | $1,122.00 | $94.84 – $187.43 | 2 |
| Limited autopsy CPT 88037 | $617.10 | $1,122.00 | $84.16 – $166.55 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $29.79 – $106.36 | 8 |
| Lipase CPT 83690 | $68.75 | $125.00 | $6.20 – $12.40 | 8 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Lipoprotein blood high res frac & quant CPT 83701 | $118.25 | $215.00 | $30.47 – $60.95 | 8 |
| Lipoprotein blood quant CPT 83704 | $149.05 | $271.00 | $30.77 – $61.54 | 8 |
| Lipoprotein direct measurement hdl CPT 83718 | $47.30 | $86.00 | $7.37 – $14.74 | 8 |
| Lipoprotein direct measurement ldl CPT 83721 | $58.30 | $106.00 | $9.45 – $18.90 | 8 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $30.77 – $61.54 | 8 |
| Lip surgery procedure CPT 40799 | $146.30 | $266.00 | $235.93 – $2,277.00 | 9 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $547,475.13 – $1,043,227.11 | 8 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.87 – $23.74 | 8 |
| Lithium therapeutic drug level CPT 80178 | $36.30 | $66.00 | $5.95 – $11.90 | 8 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $7,501.01 | $13,638.20 | $248.23 – $248.23 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,517.86 | $2,759.75 | $2,277.00 – $3,233.00 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $158.57 – $317.14 | 8 |
| Liver elastography 91200 CPT 91200 | not published | not published | $34.78 – $231.99 | 8 |
| Liver Function Test CPT 80076 | $45.10 | $82.00 | $7.35 – $14.71 | 8 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Liver imaging CPT 78201 | $693.66 | $1,261.20 | $276.81 – $978.92 | 8 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $303.74 – $978.92 | 8 |
| Liver/spleen imag static only CPT 78215 | $884.40 | $1,608.00 | $287.25 – $720.75 | 8 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $162.48 – $720.75 | 8 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $126.07 – $4,286.38 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $224.85 – $407.89 | 9 |
| Loudness balance test CPT 92562 | not published | not published | $79.26 – $389.29 | 8 |
| Low back disk surgery CPT 63030 | not published | not published | $2,277.00 – $20,939.00 | 10 |
| Low cost skin substitute app HCPCS C5271 | $1,235.52 | $2,246.40 | $1,325.00 – $1,351.00 | 2 |
| Low cost skin substitute app HCPCS C5273 | $3,581.16 | $6,511.20 | $2,745.00 – $5,340.00 | 2 |
| Low cost skin substitute app HCPCS C5275 | $1,073.82 | $1,952.40 | $1,325.00 – $1,351.00 | 2 |
| Low cost skin substitute app HCPCS C5277 | $1,073.82 | $1,952.40 | $1,325.00 – $1,351.00 | 2 |
| Low cost skin substitute app HCPCS C5272 | $155.76 | $283.20 | $1,351.00 – $1,351.00 | 1 |
| Low cost skin substitute app HCPCS C5274 | $155.76 | $283.20 | $1,351.00 – $1,351.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | $155.76 | $283.20 | $1,351.00 – $1,351.00 | 1 |
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.