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 |
|---|---|---|---|---|
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,034.00 – $11,489.91 | 10 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $2,277.00 – $55,633.53 | 9 |
| Opn tx complx malar fx CPT 21365 | $1,470.70 | $2,674.00 | $2,277.00 – $10,672.90 | 10 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Opn tx depress front sinus fx 21343 CPT 21343 | $1,412.40 | $2,568.00 | $2,277.00 – $10,672.90 | 9 |
| Opn tx dprsd zygomatic arch CPT 21356 | $493.35 | $897.00 | $2,034.00 – $10,672.90 | 10 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Opn tx orbit periorbtl implt CPT 21390 | $1,061.50 | $1,930.00 | $2,277.00 – $10,672.90 | 10 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $415.64 – $752.28 | 8 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $27.24 – $106.36 | 8 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $42.16 – $106.36 | 8 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $31.89 – $44.28 | 2 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $34.84 – $34.84 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Optx lunate dislocation CPT 25695 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Optx medial ankle fx CPT 27766 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Optx post ankle fx CPT 27769 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,277.00 – $31,611.83 | 10 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $2,034.00 – $23,146.94 | 10 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx thigh fx CPT 27269 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $2,034.00 – $5,977.46 | 10 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.06 – $18.22 | 8 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $10.78 – $21.56 | 8 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $16.38 – $29.64 | 8 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $21.95 – $41.25 | 8 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $423.86 – $853.27 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $2,277.00 – $6,455.13 | 9 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $2,277.00 – $6,455.13 | 10 |
| Organic acids total quant ea spec CPT 83918 | $323.40 | $588.00 | $21.24 – $42.48 | 8 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $45.92 – $85.34 | 8 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $29.56 – $53.51 | 8 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,545.54 – $2,797.36 | 9 |
| Orthopantogram CPT 70355 | $278.52 | $506.40 | $17.14 – $156.90 | 8 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $61.13 – $61.13 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $42.39 – $106.36 | 8 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $97.67 – $180.60 | 8 |
| Oscillation chest wall mechanical per session CPT 94669 | $335.28 | $609.60 | $57.31 – $394.80 | 8 |
| Osmolality blood CPT 83930 | $34.10 | $62.00 | $5.95 – $11.90 | 8 |
| Osmolality urine CPT 83935 | $59.95 | $109.00 | $6.14 – $12.28 | 8 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $21.51 – $38.93 | 8 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $21.51 – $38.93 | 8 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $21.51 – $38.93 | 8 |
| Osteoplasty humerus CPT 24420 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,277.00 – $13,082.27 | 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.