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 |
|---|---|---|---|---|
| Prolactin CPT 84146 | $105.60 | $192.00 | $17.44 – $34.88 | 8 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $211.87 – $383.48 | 8 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $54.22 – $54.22 | 1 |
| Prolong service without contact CPT 99358 | $149.05 | $271.00 | not published | 0 |
| Prolong serv without contact add CPT 99359 | $72.60 | $132.00 | not published | 0 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $316.17 – $2,277.00 | 10 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $547.86 – $2,277.00 | 10 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $2,034.00 – $23,146.94 | 10 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,034.00 – $23,146.94 | 10 |
| _propoxygc/msur CPT 80367 | $171.05 | $311.00 | $23.75 – $23.75 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $620.95 | $1,129.00 | $262.13 – $646.24 | 8 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $15.49 – $15.49 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Prostate laser enucleation CPT 52649 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Prostatic microwave thermotx CPT 53850 | $8,420.09 | $15,309.25 | $2,277.00 – $6,355.21 | 9 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,277.00 – $6,355.21 | 9 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2,919.59 | $5,308.35 | not published | 0 |
| Protein analysis w/probe CPT 88372 | not published | not published | $23.60 – $51.54 | 2 |
| Protein c activity CPT 85303 | $184.80 | $336.00 | $12.46 – $24.91 | 8 |
| Protein c concentrate HCPCS J2724 | not published | not published | $14.99 – $27.13 | 8 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $72.60 | $132.00 | $9.67 – $19.33 | 8 |
| Protein s total CPT 85305 | $264.00 | $480.00 | $10.45 – $20.90 | 8 |
| Protein total 24 hour urine CPT 84156 | $37.95 | $69.00 | $3.30 – $6.61 | 8 |
| Protein total body fluid CPT 84157 | $43.45 | $79.00 | $3.60 – $7.20 | 8 |
| Protein total serum plasma whole blood CPT 84155 | $27.50 | $50.00 | $3.30 – $6.61 | 8 |
| Protein western blot tissue CPT 88371 | not published | not published | $17.81 – $20.01 | 2 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.00 – $3.62 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $293.15 | $533.00 | $3.55 – $7.09 | 8 |
| Proton treatment complex CPT 77525 | not published | not published | $1,244.87 – $2,253.17 | 8 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,244.87 – $2,253.17 | 8 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,152.63 – $2,253.17 | 8 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $550.39 – $996.18 | 8 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $8.77 – $17.53 | 8 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $132.62 – $240.03 | 8 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $2,277.00 – $6,455.13 | 10 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $101.19 – $183.16 | 8 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $58.39 – $58.39 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $2,277.00 – $33,050.22 | 9 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $2,277.00 – $33,050.22 | 9 |
| Prq card angio/athrect addl CPT 92925 | $8,296.78 | $15,085.05 | $6,198.00 – $6,198.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | $4,024.82 | $7,317.85 | $6,120.00 – $6,120.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | $6,609.10 | $12,016.55 | $6,120.00 – $6,120.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $7,005.16 | $12,736.65 | $1,245.24 – $14,326.00 | 3 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $10,319.90 | $18,763.45 | $14,326.00 – $14,326.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | $6,609.10 | $12,016.55 | $6,120.00 – $6,120.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | $9,287.96 | $16,887.20 | $6,120.00 – $6,120.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $7,223.56 | $13,133.75 | $1,110.09 – $20,813.09 | 9 |
| Prq revasc byp graft addl CPT 92938 | $7,270.06 | $13,218.30 | $6,120.00 – $6,120.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $9,287.96 | $16,887.20 | $1,111.29 – $20,813.09 | 9 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $18,260.25 – $33,050.22 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | $6,707.86 | $12,196.10 | $1,242.73 – $33,050.22 | 9 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | $6,191.62 | $11,257.50 | $1,000.42 – $13,080.00 | 9 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $10,319.90 | $18,763.45 | $1,189.27 – $20,813.09 | 9 |
| Prq trluml revsc ch occ ant CPT 92943 | $6,609.10 | $12,016.55 | $1,245.24 – $20,813.09 | 9 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $444.98 – $2,277.00 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $143.88 | $261.60 | $132.53 – $2,277.00 | 9 |
| Pr removal intrauterine device CPT 58301 | $207.24 | $376.80 | $303.54 – $2,277.00 | 10 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,116.06 | $2,029.20 | $404.93 – $2,277.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $564.96 | $1,027.20 | $199.85 – $2,277.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $613.80 | $1,116.00 | $199.85 – $2,277.00 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $557.70 | $1,014.00 | $199.85 – $2,277.00 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $656.04 | $1,192.80 | $199.85 – $2,277.00 | 9 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $950.95 | $1,729.00 | $1,778.00 – $3,719.90 | 10 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $439.46 – $2,277.00 | 10 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,491.50 | $4,530.00 | $1,325.00 – $2,838.05 | 10 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $28.31 – $28.31 | 1 |
| PSA (Prostate) Test CPT 84153 | $85.80 | $156.00 | $16.55 – $33.10 | 8 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $3.63 – $52.15 | 8 |
| Psychoanalysis CPT 90845 | not published | not published | $138.37 – $320.01 | 8 |
| Psychoeducation 45 min + HCPCS G0177 | $189.20 | $344.00 | not published | 0 |
| Psychophysiological therapy CPT 90875 | not published | not published | $109.73 – $109.73 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $172.96 – $172.96 | 1 |
| Psychotherapy group therapy CPT 90853 | $757.13 | $1,376.60 | $45.58 – $183.16 | 8 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $212.14 | $385.71 | $91.73 – $320.01 | 8 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $276.08 | $501.96 | $137.69 – $320.01 | 8 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $118.01 | $214.56 | $176.80 – $320.01 | 8 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $207.91 – $389.29 | 8 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $158.35 – $158.35 | 1 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $328.68 | $597.60 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $63.86 – $805.40 | 8 |
| Psy evaluation of records CPT 90885 | not published | not published | $88.71 – $88.71 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $46.76 – $239.87 | 8 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $36.96 – $36.96 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $63.86 – $63.86 | 1 |
| Psytx complex interactive CPT 90785 | not published | not published | $8.87 – $8.87 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $76.39 – $76.39 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $124.90 – $124.90 | 1 |
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.