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 |
|---|---|---|---|---|
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.29 – $0.29 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $82.04 – $164.09 | 8 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $112.18 – $224.35 | 8 |
| Microalbumin urine screen CPT 82044 | not published | not published | $5.61 – $11.21 | 8 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $27.05 – $72.31 | 8 |
| Microdissection laser CPT 88380 | not published | not published | $70.97 – $139.17 | 2 |
| Microdissection manual CPT 88381 | $100.10 | $182.00 | $162.05 – $165.01 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $20.23 – $40.46 | 8 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,546.15 – $10,038.28 | 8 |
| Microsatellite instability CPT 81301 | $306.90 | $558.00 | $313.70 – $627.41 | 8 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $295.90 | $538.00 | $1,351.00 – $2,277.00 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $128.17 – $231.99 | 8 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $5,246.00 – $5,246.00 | 1 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $100.69 – $188.49 | 8 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.72 – $4.92 | 8 |
| Miroderm HCPCS Q4175 | not published | not published | $102.86 – $224.36 | 8 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.60 – $129.58 | 9 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,991.60 – $5,983.20 | 8 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $33.92 – $61.39 | 8 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $328.12 – $593.89 | 8 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $29.54 – $53.46 | 8 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Mlh1 gene CPT 81288 | not published | not published | $173.09 – $346.18 | 8 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $182.16 – $364.32 | 8 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $607.86 – $1,215.72 | 8 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $178.34 – $595.80 | 8 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.15 – $31.03 | 8 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.88 – $8.84 | 8 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $86.69 – $156.90 | 8 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $259.05 | $471.00 | $1,325.00 – $2,899.06 | 10 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,545.54 – $2,797.36 | 9 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $21.51 – $38.93 | 8 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $792.29 – $1,434.01 | 8 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $69.92 – $239.87 | 8 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $10.85 – $67.91 | 8 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.83 – $5.07 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.28 – $20.42 | 8 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $356.54 – $645.32 | 8 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $428.37 – $775.33 | 8 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $22,847.58 – $41,353.09 | 8 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,081.30 | $9,238.72 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $562.17 – $1,017.50 | 8 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $90.04 – $240.03 | 8 |
| Mopath procedure level 1 CPT 81400 | $323.40 | $588.00 | $57.56 – $115.13 | 8 |
| Mopath procedure level 3 CPT 81402 | $326.15 | $593.00 | $135.30 – $270.59 | 8 |
| Mopath procedure level 5 CPT 81404 | $605.00 | $1,100.00 | $247.35 – $494.69 | 8 |
| Mopath procedure level 6 CPT 81405 | $990.00 | $1,800.00 | $271.22 – $542.43 | 8 |
| Mopath procedure level 7 CPT 81406 | $1,541.10 | $2,802.00 | $254.59 – $509.18 | 8 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $761.64 – $1,523.29 | 8 |
| Mopath procedure level 9 CPT 81408 | $1,259.50 | $2,290.00 | $1,800.00 – $3,600.00 | 8 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $386.65 | $703.00 | $134.24 – $307.16 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $238.15 | $433.00 | $160.60 – $646.24 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $89.65 | $163.00 | $121.04 – $307.16 | 8 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $670.79 – $1,214.09 | 8 |
| Motion analysis video/3d CPT 96000 | not published | not published | $176.30 – $672.77 | 8 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $177.58 – $1,548.23 | 8 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $110.60 – $805.40 | 8 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $208.45 | $379.00 | $42.40 – $63.69 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $253.00 | $460.00 | $134.24 – $307.16 | 8 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $77.26 – $78.75 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $134.24 – $307.16 | 8 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $135.30 – $270.59 | 8 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $18.05 – $36.09 | 8 |
| M.pneumon dna quant CPT 87582 | not published | not published | $108.95 – $544.72 | 8 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $627.27 – $672.82 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $620.11 – $665.75 | 2 |
| MRA chest w IV cont HCPCS C8909 | $1,180.08 | $2,145.60 | $347.51 – $628.99 | 8 |
| MRA chest wo IV cont HCPCS C8910 | $1,133.22 | $2,060.40 | $237.67 – $430.18 | 8 |
| MRA chest wwo IV cont HCPCS C8911 | $1,521.96 | $2,767.20 | $347.51 – $628.99 | 8 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $631.12 – $668.12 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $627.82 – $672.03 | 2 |
| MRA pelvis w IV cont HCPCS C8918 | $1,164.24 | $2,116.80 | $347.51 – $628.99 | 8 |
| MRA pelvis wo IV cont HCPCS C8919 | $453.42 | $824.40 | $237.67 – $430.18 | 8 |
| MRA spinal canal CPT 72159 | not published | not published | $639.91 – $693.25 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $647.05 – $693.25 | 2 |
| MRA w/cont, abd HCPCS C8900 | $1,164.24 | $2,116.80 | $347.51 – $628.99 | 8 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,164.24 | $2,116.80 | $347.51 – $628.99 | 8 |
| Mra, w/dye, spinal canal HCPCS C8931 | $1,164.24 | $2,116.80 | $347.51 – $628.99 | 8 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $347.51 – $628.99 | 8 |
| MRA without cont, abd HCPCS C8901 | $453.42 | $824.40 | $237.67 – $430.18 | 8 |
| MRA without cont, lwr ext HCPCS C8913 | $1,133.22 | $2,060.40 | $237.67 – $430.18 | 8 |
| Mra, without dye, spinal canal HCPCS C8932 | $453.42 | $824.40 | $237.67 – $430.18 | 8 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $237.67 – $430.18 | 8 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,552.32 | $2,822.40 | $347.51 – $628.99 | 8 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,521.96 | $2,767.20 | $347.51 – $628.99 | 8 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,552.32 | $2,822.40 | $347.51 – $628.99 | 8 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $1,521.96 | $2,767.20 | $347.51 – $628.99 | 8 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,521.96 | $2,767.20 | $347.51 – $628.99 | 8 |
| Mr elastography CPT 76391 | not published | not published | $237.67 – $430.18 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $2,277.00 – $20,089.23 | 9 |
| MRI brain w/dye CPT 70558 | not published | not published | $174.72 – $316.23 | 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.