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 |
|---|---|---|---|---|
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $123.30 – $246.60 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,166.55 | $2,121.00 | $1,044.00 – $2,088.00 | 8 |
| Mayo androstenedione CPT 82157 | $210.65 | $383.00 | $26.35 – $52.70 | 8 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $152.35 | $277.00 | $13.14 – $26.28 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | $276.10 | $502.00 | $9.73 – $19.46 | 8 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $78.10 | $142.00 | $13.55 – $27.09 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | $202.40 | $368.00 | $27.77 – $55.55 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $46.20 | $84.00 | $31.58 – $63.16 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $392.70 | $714.00 | $20.69 – $20.69 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $61.05 | $111.00 | $9.16 – $18.32 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $664.95 | $1,209.00 | $130.36 – $260.71 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $193.16 – $386.32 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $154.00 | $280.00 | $11.61 – $23.22 | 8 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $15.40 | $28.00 | $19.93 – $19.93 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $99.55 | $181.00 | $11.87 – $23.74 | 8 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.04 – $16.07 | 8 |
| Mayo c1 esterase inhibitor CPT 83883 | $155.65 | $283.00 | $12.24 – $24.48 | 8 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $233.20 | $424.00 | $25.48 – $25.48 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $343.20 | $624.00 | $15.18 – $30.37 | 8 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $132.55 | $241.00 | $23.94 – $48.20 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $110.00 – $220.00 | 8 |
| Mayo ceruloplasmin CPT 82390 | $78.10 | $142.00 | $9.67 – $19.33 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $562.10 | $1,022.00 | $12.71 – $25.42 | 8 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $167.75 | $305.00 | $11.59 – $23.18 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $85.80 | $156.00 | $10.64 – $21.28 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $85.80 | $156.00 | $11.41 – $22.82 | 8 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $585.20 | $1,064.00 | $104.84 – $209.68 | 8 |
| Mayo chromium CPT 82495 | $107.80 | $196.00 | $18.25 – $36.50 | 8 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $147.95 | $269.00 | $23.16 – $23.16 | 1 |
| Mayo coccidioides antibody CPT 86635 | $154.00 | $280.00 | $10.32 – $20.65 | 8 |
| Mayo cocou cortisone urine CPT 82542 | $866.80 | $1,576.00 | $21.68 – $43.36 | 8 |
| Mayo cortisol free CPT 82530 | $154.00 | $280.00 | $15.04 – $30.08 | 8 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $41.25 | $75.00 | $37.92 – $75.83 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $82.50 | $150.00 | $9.21 – $21.82 | 8 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $103.95 | $189.00 | $43.74 – $43.74 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $256.85 | $467.00 | $30.24 – $30.24 | 1 |
| Mayo cyanide CPT 82600 | $361.35 | $657.00 | $17.46 – $34.92 | 8 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $134.24 – $307.16 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $134.75 | $245.00 | $11.93 – $23.85 | 8 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $215.60 | $392.00 | $22.74 – $45.49 | 8 |
| Mayo dihydrotestosterone CPT 82642 | $72.60 | $132.00 | $26.35 – $52.70 | 8 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $8.68 – $17.35 | 8 |
| Mayo efpo chloride stool CPT 82438 | $268.40 | $488.00 | $4.50 – $9.00 | 8 |
| Mayo estriol CPT 82677 | $189.75 | $345.00 | $21.76 – $43.52 | 8 |
| Mayo estrone CPT 82679 | $182.60 | $332.00 | $22.46 – $44.91 | 8 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $336.60 | $612.00 | $14.71 – $29.41 | 8 |
| Mayo everolimus therapeutic drug level CPT 80169 | $123.20 | $224.00 | $12.36 – $24.71 | 8 |
| Mayo factor ii CPT 85210 | $245.30 | $446.00 | $11.68 – $23.36 | 8 |
| Mayo factor v CPT 85220 | $237.05 | $431.00 | $15.89 – $31.77 | 8 |
| Mayo factor vii CPT 85230 | $291.50 | $530.00 | $16.11 – $32.22 | 8 |
| Mayo factor viii vw factor antigen CPT 85246 | $243.10 | $442.00 | $20.65 – $41.29 | 8 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $325.60 | $592.00 | $20.65 – $41.29 | 8 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $323.95 | $589.00 | $20.65 – $41.29 | 8 |
| Mayo factor x CPT 85260 | $266.75 | $485.00 | $16.11 – $32.22 | 8 |
| Mayo factor xi CPT 85270 | $273.90 | $498.00 | $16.11 – $32.22 | 8 |
| Mayo fat/lipids feces quantitative CPT 82710 | $101.20 | $184.00 | $15.12 – $30.24 | 8 |
| Mayo fbl culture fungi blood CPT 87103 | $63.80 | $116.00 | $18.21 – $36.83 | 8 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $22.48 – $144.83 | 8 |
| Mayo ffspg allergen clam igg CPT 86001 | $8.80 | $16.00 | $7.04 – $14.08 | 8 |
| Mayo fibrinogen antigen CPT 85385 | $390.50 | $710.00 | $13.01 – $26.03 | 8 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $275.00 | $500.00 | $19.50 – $39.01 | 8 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $990.00 | $1,800.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $73.15 | $133.00 | $4.28 – $8.55 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $183.15 | $333.00 | $31.58 – $63.16 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $31.58 – $63.16 | 8 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $91.85 | $167.00 | $12.41 – $24.82 | 8 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $260.70 | $474.00 | $23.23 – $46.46 | 8 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $94.05 | $171.00 | $8.00 – $16.00 | 8 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $125.95 | $229.00 | $12.17 – $24.34 | 8 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $224.95 | $409.00 | $24.45 – $48.91 | 8 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $303.60 | $552.00 | $15.54 – $31.09 | 8 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $75.90 | $138.00 | $13.49 – $26.98 | 8 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $107.25 | $195.00 | $18.73 – $37.46 | 8 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $143.00 | $260.00 | $18.73 – $37.46 | 8 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $31.58 – $63.16 | 8 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $199.10 | $362.00 | $14.46 – $28.93 | 8 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $73.15 | $133.00 | $10.78 – $21.56 | 8 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $587.95 | $1,069.00 | $31.58 – $63.16 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $31.58 – $63.16 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $90.75 | $165.00 | $31.58 – $63.16 | 8 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $44.00 | $80.00 | $31.58 – $63.16 | 8 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $246.95 | $449.00 | $38.56 – $77.11 | 8 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $64.97 – $129.94 | 8 |
| Mayo infliximab therapeutic drug level CPT 80230 | $447.15 | $813.00 | $34.71 – $69.43 | 8 |
| Mayo inhab inhibin a CPT 86336 | $211.75 | $385.00 | $14.03 – $28.06 | 8 |
| Mayo insft insulin free CPT 83527 | $171.60 | $312.00 | $11.66 – $23.31 | 8 |
| Mayo insulin antibodies CPT 86337 | $139.70 | $254.00 | $19.27 – $38.54 | 8 |
| Mayo iodine CPT 83789 | $876.70 | $1,594.00 | $21.70 – $43.40 | 8 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $24.40 – $48.80 | 8 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $158.40 | $288.00 | $24.40 – $48.80 | 8 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $84.70 | $154.00 | $11.93 – $23.85 | 8 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $75.90 | $138.00 | $11.51 – $23.02 | 8 |
| Mayo legionella antibody CPT 86713 | $29.70 | $54.00 | $13.77 – $27.54 | 8 |
| Mayo leptospira antibody igm CPT 86720 | $92.95 | $169.00 | $14.58 – $29.16 | 8 |
| Mayo lipoprotein electrophoresis CPT 83700 | $59.95 | $109.00 | $10.13 – $20.27 | 8 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $58.85 | $107.00 | $13.94 – $27.88 | 8 |
| Mayo manganese CPT 83785 | $47.30 | $86.00 | $23.99 – $47.97 | 8 |
| Mayo metanephrines plasma CPT 83835 | $608.85 | $1,107.00 | $15.25 – $30.49 | 8 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $182.60 | $332.00 | $24.91 – $24.91 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $509.85 | $927.00 | $11.98 – $21.69 | 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.