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 |
|---|---|---|---|---|
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $392.15 | $713.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $2.34 | $4.25 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $67.37 – $134.75 | 8 |
| Obstetrics panel CPT 80055 | not published | not published | $43.03 – $86.06 | 8 |
| Obtaining screen pap smear HCPCS Q0091 | $32.87 | $59.76 | $22.20 – $52.15 | 8 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $104.14 – $188.49 | 8 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $51.24 – $51.24 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $60.63 – $109.75 | 8 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $206.95 – $374.57 | 8 |
| Ocular function screen CPT 99172 | not published | not published | $36.03 – $36.03 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $49.59 – $49.59 | 1 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $8.35 – $8.35 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $547.86 – $2,277.00 | 10 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Ocular reconst transplant CPT 65781 | not published | not published | $2,277.00 – $9,593.81 | 10 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $61.89 – $112.02 | 8 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $176.80 – $320.01 | 8 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $176.80 – $320.01 | 8 |
| Office emergency care CPT 99058 | not published | not published | $45.31 – $45.31 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | $146.85 | $267.00 | not published | 0 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $192.50 | $350.00 | not published | 0 |
| Off/op consltj new/est hi 55 CPT 99245 | $242.55 | $441.00 | not published | 0 |
| Off/op consltj new/est sf 20 CPT 99242 | $115.50 | $210.00 | not published | 0 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $3.10 – $3.10 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $40.03 – $83.86 | 8 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,485.70 – $6,971.40 | 8 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,259.19 – $4,518.38 | 8 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,485.70 – $6,971.40 | 8 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,485.70 – $6,971.40 | 8 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,485.70 – $6,971.40 | 8 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $6,473.70 – $12,947.40 | 8 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,804.40 – $5,608.80 | 8 |
| Oncology colorectal scr CPT 81528 | not published | not published | $457.98 – $915.97 | 8 |
| Oncology gynecologic CPT 81535 | not published | not published | $521.51 – $1,043.03 | 8 |
| Oncology gynecologic CPT 81536 | not published | not published | $159.80 – $319.61 | 8 |
| Oncology lung CPT 81538 | not published | not published | $2,583.90 – $5,167.80 | 8 |
| Oncology prostate prob score CPT 81539 | not published | not published | $684.00 – $1,368.00 | 8 |
| Oncology tissue of origin CPT 81504 | not published | not published | $468.00 – $936.00 | 8 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,375.00 – $6,750.00 | 8 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $807.30 – $1,614.60 | 8 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $234.45 – $468.90 | 8 |
| Oncoprotein dcp CPT 83951 | not published | not published | $57.97 – $115.94 | 8 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $57.97 – $115.94 | 8 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,827.00 – $3,654.00 | 8 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,485.70 – $6,971.40 | 8 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,485.70 – $6,971.40 | 8 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,240.00 – $6,480.00 | 8 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $6,998.40 – $13,996.80 | 8 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $5.51 – $5.51 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $134.24 – $307.16 | 8 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,277.00 – $7,059.16 | 9 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,277.00 – $7,059.16 | 10 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,601.73 – $2,899.06 | 9 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $2,277.00 – $10,032.25 | 10 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $1,305.53 – $13,082.27 | 8 |
| Open tx nose fx w/skele fixj CPT 21330 | $724.35 | $1,317.00 | $2,277.00 – $10,672.90 | 10 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $2,480.34 – $5,899.11 | 8 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,601.73 – $5,340.00 | 10 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Ophthalmic biometry CPT 92136 | not published | not published | $100.69 – $239.87 | 8 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $20.18 – $67.34 | 8 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $132.53 – $239.87 | 8 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $103.44 – $188.49 | 8 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $82.56 – $188.49 | 8 |
| Opioids & opiate analogs 3/4 CPT 80363 | $25.30 | $46.00 | $40.30 – $40.30 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $2,277.00 – $79,411.66 | 9 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,325.00 – $34,976.58 | 10 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,325.00 – $20,089.23 | 10 |
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.