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 |
|---|---|---|---|---|
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $200.55 – $200.55 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $65.49 | $119.08 | $13.78 – $24.95 | 8 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $10.57 – $10.57 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $77.35 | $140.64 | $18.46 – $33.41 | 8 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $47.43 | $86.23 | $13.95 – $25.25 | 8 |
| Pt application of modality traction mechanical CPT 97012 | $41.78 | $75.97 | $13.45 – $24.34 | 8 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $90.42 – $90.42 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $167.55 – $540.00 | 8 |
| Pten gene full sequence CPT 81321 | not published | not published | $540.00 – $1,080.00 | 8 |
| Pten gene known fam variant CPT 81322 | not published | not published | $41.94 – $83.88 | 8 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Pt evaluation high complexity patient/family CPT 97163 | $198.00 | $360.00 | $91.00 – $164.70 | 8 |
| Pt evaluation low complexity patient/family CPT 97161 | $167.75 | $305.00 | $91.00 – $164.70 | 8 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $202.40 | $368.00 | $95.12 – $172.17 | 8 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $7.57 – $67.55 | 8 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.25 – $43.88 | 8 |
| Pt re-evaluation patient/family CPT 97164 | $144.65 | $263.00 | $62.28 – $112.72 | 8 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $29.27 – $52.97 | 8 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $55.44 | $100.80 | $11.75 – $21.26 | 8 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $59.28 | $107.79 | $28.06 – $50.80 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $106.72 | $194.03 | $28.72 – $51.98 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $93.73 | $170.41 | $29.99 – $54.29 | 8 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $1,196.33 – $20,813.09 | 9 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $592.72 – $6,120.00 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,950.00 – $9,737.28 | 8 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pulmonary vent imaging CPT 78579 | $772.86 | $1,405.20 | $320.68 – $720.75 | 8 |
| Pulse ox continuous overnight monitoring CPT 94762 | $248.88 | $452.51 | $40.78 – $231.99 | 8 |
| Pulse ox multiple CPT 94761 | not published | not published | $8.35 – $8.35 | 1 |
| Pulse ox single CPT 94760 | not published | not published | $5.60 – $5.60 | 1 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $703.13 – $2,277.00 | 10 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $190.74 | $346.80 | $132.53 – $2,277.00 | 9 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $799.92 | $1,454.40 | $404.93 – $2,277.00 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,967.46 | $3,577.20 | $703.13 – $2,277.00 | 10 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $123.96 – $224.36 | 8 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $123.96 – $224.36 | 8 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $703.13 – $2,277.00 | 9 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $703.13 – $2,277.00 | 9 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $836.16 – $1,513.40 | 8 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $19,807.61 – $35,850.87 | 8 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Pyruvate CPT 84210 | $128.15 | $233.00 | $13.03 – $26.06 | 8 |
| Pyruvate kinase CPT 84220 | $257.95 | $469.00 | $8.50 – $16.99 | 8 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $9.38 – $239.87 | 8 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $817.08 | $1,485.60 | $521.41 – $978.92 | 8 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $335.50 – $720.75 | 8 |
| Quest t3 uptake CPT 84479 | not published | not published | $5.82 – $11.65 | 8 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.52 – $4.52 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $350.50 – $634.39 | 8 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.86 – $437.76 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $279.64 – $506.13 | 8 |
| Rabies vaccine id CPT 90676 | not published | not published | $235.56 – $426.35 | 8 |
| Radial keratotomy CPT 65771 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Radiation handling CPT 77790 | $126.66 | $230.29 | $163.47 – $163.47 | 1 |
| Radiation physics consult CPT 77336 | $419.94 | $763.53 | $71.02 – $242.33 | 8 |
| Radiation therapy dose plan CPT 77300 | $358.05 | $651.00 | $58.38 – $242.33 | 8 |
| Radiation therapy management CPT 77431 | not published | not published | $177.27 – $177.27 | 1 |
| Radiation treatment aid(s) CPT 77332 | $472.86 | $859.74 | $86.42 – $242.33 | 8 |
| Radiation treatment aid(s) CPT 77333 | $502.69 | $913.99 | $15.51 – $242.33 | 8 |
| Radiation treatment aid(s) CPT 77334 | $768.39 | $1,397.08 | $144.13 – $675.06 | 8 |
| Radiation treatment delivery CPT 77401 | not published | not published | $33.64 – $33.64 | 1 |
| Radiation treatment delivery CPT 77402 | $184.80 | $336.00 | $101.63 – $183.95 | 8 |
| Radiation treatment delivery CPT 77412 | $375.65 | $683.00 | $388.17 – $996.18 | 8 |
| Radiation tx management x5 CPT 77427 | not published | not published | $323.45 – $323.45 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Radical resection sternum 21630 CPT 21630 | $1,640.65 | $2,983.00 | $2,277.00 – $13,082.27 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,277.00 – $5,236.93 | 10 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Radiesse injection HCPCS Q2026 | not published | not published | $347.27 – $628.54 | 8 |
| Radiology port images(s) CPT 77417 | $260.07 | $472.86 | $23.20 – $23.20 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $4,196.61 | $7,630.20 | $1,378.74 – $2,495.46 | 8 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $178.83 – $326.79 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $473.04 – $978.92 | 8 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,499.52 | $2,726.40 | $540.86 – $978.92 | 8 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,811.60 | $5,112.00 | $1,048.98 – $2,334.13 | 8 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,837.44 | $3,340.80 | $485.69 – $978.92 | 8 |
| Radphm lcl tumor plr sgl day CPT 78800 | $687.72 | $1,250.40 | $264.16 – $720.75 | 8 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $135.66 – $135.66 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,277.00 – $5,236.93 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $76.14 – $137.82 | 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.