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 |
|---|---|---|---|---|
| Placental lactogen CPT 83632 | not published | not published | $18.20 – $36.40 | 8 |
| Place po breast cath for rad CPT 19296 | not published | not published | $5,340.00 – $14,735.85 | 10 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,325.00 – $14,491.00 | 10 |
| Place slctv cath carotd art uni CPT 36224 | $6,484.50 | $11,790.00 | $2,277.00 – $10,032.25 | 9 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $3,800.28 | $6,909.60 | $2,277.00 – $5,692.64 | 9 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $3,963.96 | $7,207.20 | $2,277.00 – $10,032.25 | 9 |
| Place slctv cath subclavian art CPT 36225 | $6,894.36 | $12,535.20 | $2,277.00 – $5,692.64 | 9 |
| Place slctv cath vertebral art uni CPT 36226 | $6,484.50 | $11,790.00 | $2,277.00 – $10,032.25 | 9 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $228.80 | $416.00 | not published | 0 |
| Plasma volume multiple CPT 78111 | not published | not published | $125.10 – $2,334.13 | 8 |
| Plasma volume single CPT 78110 | $1,197.90 | $2,178.00 | $138.85 – $2,334.13 | 8 |
| Plastic surgery neck CPT 15819 | not published | not published | $1,325.00 – $2,277.00 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $100.10 | $182.00 | $22.42 – $44.84 | 8 |
| Platelet automated CPT 85049 | $26.40 | $48.00 | $4.03 – $8.06 | 8 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $439.46 – $2,277.00 | 10 |
| Platelet pheresis irr ea HCPCS P9036 | $1,621.40 | $2,948.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,425.60 | $2,592.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,997.60 | $3,632.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,679.15 | $3,053.00 | $508.78 – $920.86 | 8 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,283.70 | $2,334.00 | $676.87 – $1,225.10 | 8 |
| Platelet survival CPT 78191 | not published | not published | $219.21 – $720.75 | 8 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $262.22 – $524.45 | 8 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,889.18 | $10,707.60 | $2,277.00 – $6,455.13 | 10 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $5,373.06 | $9,769.20 | $2,277.00 – $6,355.21 | 10 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $6,316.86 | $11,485.20 | $2,277.00 – $6,355.21 | 10 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,147.74 | $2,086.80 | $705.37 – $2,277.00 | 10 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $500.94 | $910.80 | $1,351.00 – $2,277.00 | 2 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $127.49 | $231.80 | $1,351.00 – $2,277.00 | 2 |
| Plerixafor injection HCPCS J2562 | not published | not published | $28.33 – $51.28 | 8 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $898.17 | $1,633.04 | $77.72 – $672.77 | 8 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $2,277.00 – $11,671.69 | 10 |
| Plmt biliary drainage cath CPT 47534 | $13,520.76 | $24,583.20 | $2,277.00 – $6,455.13 | 10 |
| Plmt nephroureteral catheter CPT 50433 | $2,121.87 | $3,857.95 | $2,277.00 – $6,355.21 | 10 |
| Plmt ureteral stent prq CPT 50694 | $5,373.06 | $9,769.20 | $2,277.00 – $6,355.21 | 10 |
| Pm device progr eval dual CPT 93280 | $20.97 | $38.12 | $32.54 – $67.29 | 8 |
| Pm device progr eval multi CPT 93281 | not published | not published | $37.18 – $67.29 | 8 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $186.58 – $373.16 | 8 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $682.52 – $1,365.05 | 8 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $692.62 – $1,385.24 | 8 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $41.94 – $83.88 | 8 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $37.18 – $67.29 | 8 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $183.15 – $366.30 | 8 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $608.85 – $1,217.70 | 8 |
| Pms2 known familial variants CPT 81318 | not published | not published | $178.34 – $595.80 | 8 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $35.93 – $65.03 | 8 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $624.86 – $2,277.00 | 10 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $32.98 – $125.01 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $234.85 | $427.00 | $23.46 – $46.93 | 8 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $140.90 – $258.50 | 8 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $2,272.60 | $4,132.00 | $855.40 – $1,548.23 | 8 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $855.40 – $1,548.23 | 8 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,200.00 | $4,000.00 | $855.40 – $1,548.23 | 8 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $9.46 – $18.92 | 8 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $25,682.13 – $25,682.13 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Positional nystagmus test CPT 92532 | not published | not published | $31.99 – $31.99 | 1 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $22.50 – $45.00 | 8 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $101.19 – $183.16 | 8 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $371.70 – $672.77 | 8 |
| Postpartum Care Only CPT 59430 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $36.85 | $67.00 | $4.26 – $8.51 | 8 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.25 – $10.49 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $26.40 | $48.00 | $4.28 – $8.57 | 8 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $123.30 – $246.60 | 8 |
| Pq biliary strict dil s&i CPT 74363 | $964.26 | $1,753.20 | $180.71 – $180.71 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,269.84 | $2,308.80 | $128.18 – $128.18 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $12,730.71 | $23,146.75 | $6,120.00 – $13,082.27 | 9 |
| Pq thr inj ext pse CPT 36002 | $211.09 | $383.80 | $624.86 – $2,277.00 | 10 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,899.88 | $5,272.50 | $1,351.00 – $7,389.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,809.09 | $8,743.80 | $3,259.26 – $7,389.00 | 10 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,031.61 | $7,330.20 | $3,259.26 – $7,389.00 | 10 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $384.00 – $695.02 | 8 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,737.02 | $4,976.40 | $1,778.00 – $5,899.11 | 10 |
| Pr application of long arm splint CPT 29105 | $465.96 | $847.20 | $161.87 – $2,277.00 | 9 |
| Pr application splint static short arm CPT 29125 | $782.76 | $1,423.20 | $132.53 – $2,277.00 | 9 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $7.26 | $13.20 | $8.75 – $67.34 | 8 |
| Pr biopsy skin punch single lesion CPT 11104 | $604.56 | $1,099.20 | $404.93 – $2,277.00 | 9 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $2,034.00 – $23,146.94 | 10 |
| Pr correction hammertoe CPT 28285 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $53.78 | $97.79 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $430.54 | $782.80 | $2,277.00 – $3,233.00 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | $364.70 | $663.10 | $2,277.00 – $3,233.00 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $425.15 | $773.00 | $43.40 – $361.72 | 8 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $96.80 | $176.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $142.45 | $259.00 | not published | 0 |
| Prealbumin CPT 84134 | $69.30 | $126.00 | $13.13 – $26.26 | 8 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $14.94 – $14.94 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $46.89 – $46.89 | 1 |
| Pregabalin - sendout CPT 80366 | $160.05 | $291.00 | $15.66 – $15.66 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $13.55 – $27.09 | 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.