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 |
|---|---|---|---|---|
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $2,034.00 – $7,888.00 | 3 |
| Artificial insemination CPT 58321 | not published | not published | $303.54 – $2,277.00 | 10 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $201.38 – $2,277.00 | 10 |
| Artiss fibrin sealant HCPCS C9250 | not published | not published | $142.57 – $262.21 | 8 |
| Art pressure waveform analys CPT 93050 | not published | not published | $14.48 – $52.15 | 8 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Aspa gene CPT 81200 | not published | not published | $42.53 – $85.05 | 8 |
| Asp core fat pad CPT 17999 | $54.45 | $99.00 | $199.85 – $2,277.00 | 9 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $705.37 – $2,277.00 | 9 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $624.86 – $2,277.00 | 9 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,789.72 | $6,890.40 | $1,778.00 – $3,768.77 | 10 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | not published | not published | $305.76 – $2,277.00 | 10 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,573.44 | $2,860.80 | $624.86 – $2,277.00 | 10 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,122.00 | $2,040.00 | $705.37 – $2,277.00 | 10 |
| Aspiration orbital contents CPT 67415 | not published | not published | $1,325.00 – $4,286.38 | 10 |
| Aspiration peritonsillar abscess CPT 42999 | $65.84 | $119.70 | $235.93 – $2,277.00 | 9 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,905.42 | $3,464.40 | $705.37 – $2,277.00 | 9 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $881.03 – $2,277.00 | 10 |
| Assay acid phosphatase CPT 84060 | $44.55 | $81.00 | $6.88 – $13.75 | 8 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $7.43 – $14.87 | 8 |
| Assay blood catecholamines CPT 82383 | not published | not published | $26.17 – $52.34 | 8 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $18.59 – $37.17 | 8 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $25.15 – $50.29 | 8 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $6.48 – $12.96 | 8 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $20.39 – $40.77 | 8 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $6.63 – $13.27 | 8 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $45.77 – $91.55 | 8 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | $115.59 – $209.21 | 8 |
| Assay of adp & amp CPT 82030 | not published | not published | $23.22 – $46.44 | 8 |
| Assay of androsterone CPT 82160 | not published | not published | $23.00 – $45.99 | 8 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $11.48 – $22.95 | 8 |
| Assay of bradykinin CPT 82286 | not published | not published | $4.64 – $9.29 | 8 |
| Assay of breath ethanol CPT 82075 | $40.15 | $73.00 | $27.00 – $54.00 | 8 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $16.25 – $32.51 | 8 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $11.40 – $22.81 | 8 |
| Assay of corticosterone CPT 82528 | not published | not published | $20.27 – $40.54 | 8 |
| Assay of digoxin free CPT 80163 | not published | not published | $11.95 – $23.90 | 8 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $64.11 – $128.21 | 8 |
| Assay of estrogen CPT 84233 | not published | not published | $79.09 – $158.18 | 8 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $23.62 – $47.23 | 8 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $8.94 – $17.87 | 8 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $35.20 – $70.40 | 8 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $15.12 – $30.24 | 8 |
| Assay of fluoride CPT 82735 | not published | not published | $16.69 – $33.37 | 8 |
| Assay of galactose CPT 82760 | not published | not published | $10.08 – $20.16 | 8 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $11.84 – $23.67 | 8 |
| Assay of glucosidase CPT 82963 | not published | not published | $19.33 – $38.66 | 8 |
| Assay of glutathione CPT 82978 | not published | not published | $13.91 – $27.81 | 8 |
| Assay of haptoglobins CPT 83012 | not published | not published | $24.20 – $48.40 | 8 |
| Assay of idh enzyme CPT 83570 | not published | not published | $7.97 – $15.93 | 8 |
| Assay of interleukin-6 (il-6) CPT 83529 | $104.50 | $190.00 | $15.54 – $31.09 | 8 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $17.84 – $35.68 | 8 |
| Assay of lap enzyme CPT 83670 | not published | not published | $8.83 – $17.66 | 8 |
| Assay of leflunomide CPT 80193 | not published | not published | $34.71 – $69.43 | 8 |
| Assay of lrh hormone CPT 83727 | not published | not published | $15.47 – $30.94 | 8 |
| Assay of methemalbumin CPT 83857 | not published | not published | $9.67 – $19.33 | 8 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $5.82 – $11.65 | 8 |
| Assay of osteocalcin CPT 83937 | $59.95 | $109.00 | $26.87 – $53.73 | 8 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.58 – $7.16 | 8 |
| Assay of pregnanediol CPT 84135 | not published | not published | $19.14 – $38.29 | 8 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $18.95 – $37.89 | 8 |
| Assay of procainamide w/metab CPT 80192 | $396.00 | $720.00 | $15.08 – $30.15 | 8 |
| Assay of progesterone CPT 84234 | not published | not published | $58.39 – $116.78 | 8 |
| Assay of prostaglandin CPT 84150 | not published | not published | $37.59 – $75.19 | 8 |
| Assay of PSA complexed CPT 84152 | not published | not published | $16.55 – $33.10 | 8 |
| Assay of quinine CPT 84228 | not published | not published | $10.47 – $20.93 | 8 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $8.50 – $16.99 | 8 |
| Assay of salicylate CPT 80179 | not published | not published | $16.78 – $33.55 | 8 |
| Assay of semen fructose CPT 82757 | not published | not published | $15.61 – $31.21 | 8 |
| Assay of sialic acid CPT 84275 | not published | not published | $12.10 – $24.19 | 8 |
| Assay of silica CPT 84285 | not published | not published | $22.69 – $45.38 | 8 |
| Assay of somatostatin CPT 84307 | $271.15 | $493.00 | $16.45 – $32.90 | 8 |
| Assay of thiocyanate CPT 84430 | $100.65 | $183.00 | $10.47 – $20.93 | 8 |
| Assay of troponin qual CPT 84512 | not published | not published | $9.08 – $18.16 | 8 |
| Assay of tyrosine CPT 84510 | $221.65 | $403.00 | $9.57 – $19.13 | 8 |
| Assay of urine sulfate CPT 84392 | $31.90 | $58.00 | $4.94 – $9.88 | 8 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $8.60 – $17.19 | 8 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.45 – $10.89 | 8 |
| Assay phosphatidylglycerol CPT 84081 | $82.50 | $150.00 | $14.87 – $29.74 | 8 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $9.66 – $19.31 | 8 |
| Assay rbc glutathione CPT 82979 | not published | not published | $8.50 – $16.99 | 8 |
| Assay toxin or antitoxin CPT 87230 | $120.45 | $219.00 | $17.77 – $35.53 | 8 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $91.53 – $165.67 | 8 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $101.19 – $183.16 | 8 |
| Assess cyst contrast inject CPT 49424 | $290.40 | $528.00 | $1,351.00 – $2,277.00 | 2 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $23.65 | $43.00 | $3.84 – $7.69 | 8 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $110.56 – $231.99 | 8 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $2,277.00 – $10,305.00 | 3 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $36.74 – $66.49 | 8 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $590.54 – $1,452.56 | 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.