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 |
|---|---|---|---|---|
| Assist oocyte fertilization CPT 89281 | not published | not published | $134.24 – $307.16 | 8 |
| Ast/sgot CPT 84450 | $36.85 | $67.00 | $4.66 – $9.32 | 8 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $93.51 – $173.78 | 8 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $10,836.13 | $19,702.05 | $13,080.00 – $14,326.00 | 2 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $10,836.13 | $19,702.05 | $13,080.00 – $14,326.00 | 2 |
| Atomic absorption CPT 82190 | not published | not published | $14.31 – $28.62 | 8 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $2,277.00 – $9,018.95 | 9 |
| Attach ocular implant CPT 65140 | not published | not published | $2,034.00 – $7,087.94 | 10 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $128.17 – $231.99 | 8 |
| Audiometry air + bone CPT 92553 | not published | not published | $63.33 – $231.99 | 8 |
| Auditory function 60 min CPT 92620 | not published | not published | $128.17 – $231.99 | 8 |
| Augmentation cheek bone CPT 21270 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Augmentation of facial bones CPT 21208 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $6,152.96 | $11,187.20 | $1,351.00 – $7,389.00 | 2 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $12,023.25 | $21,860.45 | $6,120.00 – $13,082.27 | 9 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $756.59 – $1,513.17 | 8 |
| Autologous blood op salvage CPT 86891 | not published | not published | $157.21 – $1,452.56 | 8 |
| Autologous blood process CPT 86890 | $416.35 | $757.00 | $111.04 – $307.16 | 8 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $1,468.39 – $1,468.39 | 1 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $241.40 – $3,719.90 | 8 |
| Automated diff wbc count CPT 85004 | $39.05 | $71.00 | $5.82 – $11.65 | 8 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $97.96 – $239.87 | 8 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $73.77 – $231.99 | 8 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $132.53 – $239.87 | 8 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $102.77 – $195.54 | 8 |
| Av fistula revision CPT 36833 | not published | not published | $2,277.00 – $10,032.25 | 10 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $2,034.00 – $10,032.25 | 10 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $2,034.00 – $10,032.25 | 10 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,034.00 – $5,692.64 | 10 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $2,034.00 – $10,032.25 | 10 |
| Avul nail plate addl CPT 11732 | $124.08 | $225.60 | $1,351.00 – $2,277.00 | 2 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $289.08 | $525.60 | $199.85 – $2,277.00 | 9 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $518,888.18 – $1,012,501.61 | 8 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,778.00 – $10,899.52 | 10 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $242.71 – $458.56 | 8 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $184.27 – $334.99 | 8 |
| Baclofen eval charges CPT 97750 | $77.35 | $140.64 | $32.67 – $59.13 | 8 |
| Bacterial meningitis antigen CPT 86403 | $133.65 | $243.00 | $10.39 – $20.77 | 8 |
| Bacterial vaginosis pcr CPT 87801 | $254.65 | $463.00 | $63.18 – $126.36 | 8 |
| Bactericidal level serum CPT 87197 | $123.20 | $224.00 | $13.52 – $27.04 | 8 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $31.58 – $63.16 | 8 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $1,778.00 – $5,836.23 | 10 |
| Bartonella dna pcr-sendout CPT 87471 | $276.65 | $503.00 | $31.58 – $63.16 | 8 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $36.94 – $389.29 | 8 |
| Basiliximab HCPCS J0480 | not published | not published | $4,878.07 – $8,829.09 | 8 |
| B cells total count CPT 86355 | not published | not published | $33.96 – $67.91 | 8 |
| Bckdhb gene CPT 81205 | not published | not published | $85.49 – $170.98 | 8 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $42.58 – $183.16 | 8 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.86 – $6.99 | 8 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $57.98 – $104.93 | 8 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.91 – $5.33 | 8 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $11.54 – $20.88 | 8 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.46 – $22.56 | 8 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $29.75 – $53.84 | 8 |
| Benign lesion paring 2-4 CPT 11056 | $295.68 | $537.60 | $199.85 – $2,277.00 | 9 |
| Benign lesion paring 4+ CPT 11057 | $347.16 | $631.20 | $199.85 – $2,277.00 | 9 |
| #_benzodiazconfur CPT 80346 | $294.25 | $535.00 | $30.58 – $30.58 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $114.95 | $209.00 | $22.91 – $45.81 | 8 |
| Beta-2 microglobulin CPT 82232 | $144.10 | $262.00 | $14.56 – $29.12 | 8 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.21 – $232.06 | 8 |
| Beta-amyloid 1-42 CPT 82234 | $137.50 | $250.00 | $128.21 – $232.06 | 8 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $74.41 – $134.68 | 8 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $24.40 – $44.16 | 8 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $24.38 – $46.60 | 8 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.86 – $3.37 | 8 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $36.82 – $66.64 | 8 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $20.77 – $37.58 | 8 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $15.18 – $30.37 | 8 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $2,277.00 – $10,305.00 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $881.03 – $2,277.00 | 10 |
| Bilateral n block inj occipital 64405 CPT 64405 | $914.10 | $1,662.00 | $305.76 – $2,277.00 | 10 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $502.26 | $913.20 | $305.76 – $2,277.00 | 10 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $23.92 – $47.84 | 8 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $1,778.00 – $11,671.69 | 10 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $2,034.00 – $11,671.69 | 10 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $2,034.00 – $19,164.59 | 10 |
| Biliary endoscopy thru skin CPT 47555 | $2,767.68 | $5,032.15 | $2,034.00 – $11,671.69 | 10 |
| Biliary endoscopy thru skin CPT 47556 | $5,456.99 | $9,921.80 | $2,277.00 – $19,164.59 | 10 |
| Bilicheck CPT 88720 | $138.05 | $251.00 | $4.52 – $9.04 | 8 |
| Bilirubin direct CPT 82248 | $24.75 | $45.00 | $4.52 – $9.04 | 8 |
| Bilirubin total CPT 82247 | $85.80 | $156.00 | $4.52 – $9.04 | 8 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Biofeedback, pt CPT 90901 | not published | not published | $16.16 – $29.25 | 8 |
| Biopsy abdominal mass CPT 49180 | $1,710.72 | $3,110.40 | $1,325.00 – $2,977.67 | 10 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $1,778.00 – $5,236.93 | 10 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Biopsy bone trocar/needle superficial CPT 20220 | $3,193.08 | $5,805.60 | $1,325.00 – $2,977.67 | 10 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $917.46 – $2,277.00 | 10 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $1,922.00 – $4,286.38 | 10 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $1,778.00 – $7,059.16 | 10 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $235.93 – $2,277.00 | 10 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $316.17 – $2,277.00 | 10 |
| Biopsy eye muscle CPT 67346 | not published | not published | $1,325.00 – $7,087.94 | 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.