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 |
|---|---|---|---|---|
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $5,110.00 – $17,067.14 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $2,277.00 – $20,813.09 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $2,277.00 – $33,050.22 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $2,277.00 – $20,813.09 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $2,277.00 – $20,813.09 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | $6,836.28 | $12,429.60 | $2,277.00 – $10,899.52 | 10 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $831.60 | $1,512.00 | $248.88 – $2,277.00 | 10 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Perq transcath closure each CPT 93592 | not published | not published | $833.09 – $1,351.00 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $1,277.64 – $33,050.22 | 8 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $1,888.47 – $33,050.22 | 8 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $2,275.84 – $33,050.22 | 8 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $1,422.26 – $3,233.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,034.00 – $5,977.46 | 10 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Pertussis ag if CPT 87265 | not published | not published | $10.78 – $21.56 | 8 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.11 – $30.96 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.57 – $107.81 | 8 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,521.10 | $6,402.00 | $1,424.38 – $2,578.06 | 8 |
| Pet CT whole body initial CPT 78816 | $3,841.20 | $6,984.00 | $1,424.38 – $2,578.06 | 8 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,161.30 | $7,566.00 | $1,424.38 – $2,578.06 | 8 |
| Pet image full body CPT 78813 | not published | not published | $1,424.38 – $2,578.06 | 8 |
| Pet image ltd area CPT 78811 | not published | not published | $1,289.61 – $2,334.13 | 8 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,424.38 – $2,578.06 | 8 |
| Pet image w/ct lmtd CPT 78814 | $2,447.94 | $4,450.80 | $1,424.38 – $2,578.06 | 8 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $398.21 – $720.75 | 8 |
| Pet scan brain perf study CPT 78609 | not published | not published | $137.03 – $137.03 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $1,181.62 | $2,148.40 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.75 – $35.75 | 8 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $28.68 – $51.91 | 8 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.18 – $18.43 | 8 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $46.06 – $46.06 | 1 |
| Ph body fluid CPT 83986 | $29.70 | $54.00 | $3.22 – $6.44 | 8 |
| Phencyclidine (pcp) CPT 83992 | $148.50 | $270.00 | $37.37 – $38.35 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $104.50 | $190.00 | $13.77 – $27.54 | 8 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $287.04 – $519.52 | 8 |
| Phenytoin total therapeutic drug level CPT 80185 | $95.15 | $173.00 | $11.93 – $23.85 | 8 |
| Phlebotomy therapeutic CPT 99195 | $303.60 | $552.00 | $132.53 – $239.87 | 8 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Phosphorus CPT 84100 | $26.95 | $49.00 | $4.27 – $8.53 | 8 |
| Phosphorus 24 hour urine CPT 84105 | $61.05 | $111.00 | $5.20 – $10.40 | 8 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $58.76 – $106.36 | 8 |
| Photochemotherapy puva CPT 96912 | not published | not published | $58.76 – $106.36 | 8 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $222.17 – $732.91 | 8 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $48.07 – $1,351.00 | 2 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $104.37 – $1,351.00 | 2 |
| Photo patch test CPT 95052 | not published | not published | $11.66 – $106.36 | 8 |
| Photopheresis CPT 36522 | not published | not published | $2,277.00 – $7,852.56 | 9 |
| Photosensitivity tests CPT 95056 | not published | not published | $76.51 – $239.87 | 8 |
| Phys blood bank serv authrj CPT 86079 | $52.80 | $96.00 | $44.78 – $93.95 | 8 |
| Phys blood bank serv reactj CPT 86078 | $65.45 | $119.00 | $89.85 – $307.16 | 8 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $22.20 – $52.15 | 8 |
| Phys review of motion tests CPT 96004 | not published | not published | $203.00 – $203.00 | 1 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,600.68 | $2,910.32 | $344.58 – $623.68 | 8 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $247.35 – $494.69 | 8 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $742.46 – $13,082.27 | 8 |
| Pin caspar distraction 12mm HCPCS C1821 | $5,321.25 | $9,675.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,509.42 | $2,744.40 | $736.19 – $2,277.00 | 10 |
| Pin finger dislocation CPT 26776 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Pin finger fracture each CPT 26756 | $550.00 | $1,000.00 | $1,778.00 – $5,899.11 | 10 |
| Pin hand dislocation CPT 26676 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $86.09 – $183.16 | 8 |
| Pinworm exam CPT 87172 | $100.10 | $182.00 | $3.84 – $7.69 | 8 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.84 – $7.69 | 8 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $521.53 – $1,043.06 | 8 |
| Place breast cath for rad CPT 19297 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $5,340.00 – $24,845.76 | 10 |
| Place cath intracranial art CPT 36228 | $292.38 | $531.60 | $1,351.00 – $2,277.00 | 2 |
| Place cath xtrnl carotid CPT 36227 | $5,037.12 | $9,158.40 | $1,351.00 – $2,277.00 | 2 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,191.98 – $2,857.00 | 10 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,378.74 – $2,495.46 | 8 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,325.00 – $3,459.61 | 10 |
| Place endorectal app HCPCS C9725 | not published | not published | $926.34 – $1,676.63 | 8 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Place gastrostomy tube perc CPT 49440 | $3,688.74 | $6,706.80 | $1,325.00 – $3,459.61 | 10 |
| Placement bile duct support CPT 47801 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $825.03 | $1,500.05 | $1,325.00 – $2,977.67 | 10 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $204.82 | $372.40 | $1,351.00 – $2,277.00 | 2 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $516.23 | $938.60 | $705.37 – $2,277.00 | 10 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,687.22 | $4,885.85 | $2,082.24 – $3,962.00 | 10 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $422.40 | $768.00 | $1,351.00 – $1,351.00 | 1 |
| Placement of drain pancreas CPT 48001 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Placement of seton CPT 46020 | not published | not published | $2,034.00 – $5,004.26 | 10 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $12,383.77 | $22,515.95 | $11,499.23 – $20,813.09 | 9 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Place needles h&n for right CPT 41019 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Place needles pelvic for right CPT 55920 | not published | not published | $4,373.00 – $14,491.00 | 10 |
| Place non-slctv cath thoracic arta CPT 36221 | $5,777.64 | $10,504.80 | $2,277.00 – $5,692.64 | 9 |
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.