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 |
|---|---|---|---|---|
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Ot evaluation high complexity patient/family CPT 97167 | $197.62 | $359.31 | $93.28 – $168.84 | 8 |
| Ot evaluation low complexity patient/family CPT 97165 | $154.14 | $280.26 | $93.28 – $168.84 | 8 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $189.71 | $344.93 | $97.66 – $176.76 | 8 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $20.82 – $41.63 | 8 |
| Oth resp proc, group HCPCS G0239 | $154.55 | $281.00 | $21.00 – $67.34 | 8 |
| Oth resp proc, indiv HCPCS G0238 | $70.95 | $129.00 | $18.79 – $52.15 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $89.21 | $162.20 | $48.21 – $87.26 | 8 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $83.00 | $150.91 | $41.84 – $75.73 | 8 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $65.49 | $119.08 | $26.77 – $48.46 | 8 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $17.24 – $17.24 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $2,034.00 – $5,977.46 | 10 |
| Ot re-evaluation patient/family CPT 97168 | $138.60 | $252.00 | $66.37 – $120.13 | 8 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $65.49 | $119.08 | $33.65 – $60.91 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $65.49 | $119.08 | $18.13 – $32.81 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $77.35 | $140.64 | $19.47 – $35.24 | 8 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $75.35 | $137.00 | $27.01 – $48.89 | 8 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $69.30 | $126.00 | $31.60 – $57.19 | 8 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $69.30 | $126.00 | $31.18 – $56.43 | 8 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Out of office emerg med serv CPT 99060 | not published | not published | $50.55 – $50.55 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $2,277.00 – $9,018.95 | 9 |
| Ovulation tests CPT 84830 | not published | not published | $11.43 – $22.86 | 8 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $189.87 – $500.83 | 8 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $123.30 – $246.60 | 8 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.55 – $11.85 | 8 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $537.02 – $1,217.70 | 8 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $271.22 – $542.43 | 8 |
| Palifermin injection HCPCS J2425 | not published | not published | $36.03 – $69.64 | 8 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $123.96 – $224.36 | 8 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $15.35 – $27.78 | 8 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $434.35 – $786.15 | 8 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pancreatectomy CPT 48146 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pancreatectomy CPT 48152 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pancreatectomy CPT 48154 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $175.65 – $327.94 | 8 |
| Parathormone (pth) intact CPT 83970 | $207.35 | $377.00 | $37.15 – $74.30 | 8 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Parathyrd planar w/spect&ct CPT 78072 | $839.52 | $1,526.40 | $520.64 – $978.92 | 8 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Parathyroid planar imaging CPT 78070 | $694.98 | $1,263.60 | $376.85 – $720.75 | 8 |
| Parathyroid planar img w/tomo spect CPT 78071 | $812.46 | $1,477.20 | $398.21 – $720.75 | 8 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $2,277.00 – $9,018.95 | 9 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $2,277.00 – $11,971.60 | 10 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $149.16 | $271.20 | $199.85 – $2,277.00 | 9 |
| Parotid duct diversion CPT 42507 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Parotid duct diversion CPT 42509 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Parotid duct diversion CPT 42510 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,325.00 – $5,836.23 | 10 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial exc bone humerus CPT 24140 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Partial excision of lip CPT 40500 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Partial hip replacement CPT 27125 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Partial hysterectomy CPT 58180 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal donor liver CPT 47141 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal donor liver CPT 47142 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Partial removal of bladder CPT 51550 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Partial removal of hand bone CPT 26230 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of lip CPT 40530 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Partial removal of liver CPT 47125 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of liver CPT 47130 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of nose CPT 30150 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Partial removal of pancreas CPT 48145 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Partial removal of radius CPT 25151 | not published | not published | $1,778.00 – $5,899.11 | 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.