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 mgrm acetylcholine receptor binding antibody CPT 86041 | $50.60 | $92.00 | $16.56 – $33.12 | 8 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $79.20 | $144.00 | $13.10 – $26.19 | 8 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $455.95 | $829.00 | $16.78 – $33.55 | 8 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $612.15 | $1,113.00 | $123.30 – $246.60 | 8 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $166.68 – $333.36 | 8 |
| Mayo muramidase CPT 85549 | $218.90 | $398.00 | $16.88 – $33.75 | 8 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $16.56 – $33.12 | 8 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $201.30 | $366.00 | $16.25 – $32.49 | 8 |
| Mayo myoglobin CPT 83874 | $95.70 | $174.00 | $11.63 – $23.26 | 8 |
| Mayo nickel CPT 83885 | not published | not published | $22.06 – $44.12 | 8 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $227.70 | $414.00 | $32.27 – $32.27 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $98.45 | $179.00 | $26.20 – $26.20 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $147.40 | $268.00 | $26.92 – $26.92 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $236.50 | $430.00 | $19.09 – $38.18 | 8 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $14.81 – $29.61 | 8 |
| Mayo oxalate 24 hour urine CPT 83945 | $165.00 | $300.00 | $13.01 – $26.01 | 8 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $10.38 – $20.75 | 8 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $105.60 | $192.00 | $13.53 – $27.05 | 8 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $117.15 | $213.00 | $10.85 – $21.69 | 8 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $96.25 | $175.00 | $31.58 – $63.16 | 8 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $59.95 | $109.00 | $16.18 – $32.36 | 8 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $90.20 | $164.00 | $12.38 – $24.77 | 8 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $273.35 | $497.00 | $7.60 – $15.19 | 8 |
| Mayo pregnenolone CPT 84140 | $262.35 | $477.00 | $18.60 – $37.21 | 8 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $95.15 | $173.00 | $14.93 – $29.86 | 8 |
| Mayo proinsulin CPT 84206 | $276.10 | $502.00 | $24.02 – $48.04 | 8 |
| Mayo psaft prostate specific antigen free CPT 84154 | $73.15 | $133.00 | $16.55 – $33.10 | 8 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $310.75 | $565.00 | $16.56 – $33.12 | 8 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $12.02 – $24.05 | 8 |
| Mayo receptor assay transferrin soluble CPT 84238 | $234.30 | $426.00 | $32.91 – $65.83 | 8 |
| Mayo renin CPT 84244 | $174.35 | $317.00 | $19.79 – $39.58 | 8 |
| Mayo repu protein electrophoresis urine CPT 84166 | $183.15 | $333.00 | $16.05 – $32.09 | 8 |
| Mayo selenium CPT 84255 | $94.05 | $171.00 | $22.98 – $45.95 | 8 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $13.95 – $27.90 | 8 |
| Mayo serotonin CPT 84260 | $586.30 | $1,066.00 | $27.88 – $55.76 | 8 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $70.40 | $128.00 | $17.42 – $34.83 | 8 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $295.90 | $538.00 | $12.36 – $24.71 | 8 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $69.30 | $126.00 | $91.52 – $165.65 | 8 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $31.90 | $58.00 | $3.84 – $7.69 | 8 |
| Mayo tau phosphorylated 217 each CPT 84393 | $137.50 | $250.00 | $128.21 – $232.06 | 8 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $411.40 | $748.00 | $188.03 – $376.06 | 8 |
| Mayo tgrp testosterone free CPT 84402 | $165.00 | $300.00 | $22.92 – $45.85 | 8 |
| Mayo tgrp testosterone total CPT 84403 | $303.05 | $551.00 | $23.23 – $46.46 | 8 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $82.50 | $150.00 | $19.95 – $39.91 | 8 |
| Mayo thyroglobulin CPT 84432 | $111.10 | $202.00 | $14.45 – $28.91 | 8 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $35.20 | $64.00 | $9.16 – $18.32 | 8 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $79.20 | $144.00 | $11.15 – $22.30 | 8 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $229.35 | $417.00 | $23.35 – $23.35 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $46.15 – $92.30 | 8 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $45.10 | $82.00 | $12.74 – $25.49 | 8 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $195.25 | $355.00 | $12.19 – $24.37 | 8 |
| Mayo vasoactive intestinal peptide CPT 84586 | $468.05 | $851.00 | $15.53 – $63.59 | 8 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $59.95 | $109.00 | $18.22 – $36.43 | 8 |
| Mayo vitamin b3 (niacin) CPT 84591 | $116.60 | $212.00 | $15.35 – $30.71 | 8 |
| Mayo vitamin k CPT 84597 | $345.40 | $628.00 | $12.35 – $24.70 | 8 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $97.90 | $178.00 | $11.93 – $23.85 | 8 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $35.38 – $70.76 | 8 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,601.73 – $7,852.00 | 10 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $37.82 – $37.82 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $2,277.00 – $6,389.00 | 10 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $16.14 – $16.14 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $16.04 – $16.04 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $63.41 – $672.77 | 8 |
| Measure kidney pressure CPT 50396 | not published | not published | $694.58 – $2,277.00 | 10 |
| Measurement post void urine by ultrasound CPT 51798 | $170.94 | $310.80 | $58.76 – $2,277.00 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $128.17 – $2,277.00 | 9 |
| #mec-opiates CPT 80356 | $227.70 | $414.00 | $30.18 – $30.18 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $135.00 – $270.00 | 8 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $475.08 – $950.17 | 8 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $108.00 – $216.00 | 8 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $82.05 – $82.05 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Medical services after hrs CPT 99050 | not published | not published | $38.33 – $38.33 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $285.46 – $672.77 | 8 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $31.80 – $31.80 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $31.80 – $31.80 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $750.38 – $750.38 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $855.40 – $1,548.23 | 8 |
| Meg spontaneous CPT 95965 | not published | not published | $855.40 – $1,548.23 | 8 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $123.96 – $224.36 | 8 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $123.96 – $224.36 | 8 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $46.95 – $46.95 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $123.96 – $224.36 | 8 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $99.55 – $224.36 | 8 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $123.96 – $224.36 | 8 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $32.10 – $58.11 | 8 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $67.65 | $123.00 | $7.61 – $15.23 | 8 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $82.50 | $150.00 | $9.50 – $19.01 | 8 |
| Metabolic panel ionized ca CPT 80047 | $67.65 | $123.00 | $12.36 – $24.71 | 8 |
| Methotrexate therapeutic drug level CPT 80204 | $29.15 | $53.00 | $34.71 – $69.43 | 8 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $9.43 – $19.57 | 8 |
| Methylphenidate CPT 80360 | $128.70 | $234.00 | $20.58 – $20.58 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.13 – $0.13 | 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.