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 |
|---|---|---|---|---|
| Reconstruction of jaw joint CPT 21243 | not published | not published | $2,277.00 – $48,920.09 | 10 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Reconstruction of midface CPT 21188 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Reconstruction of mouth CPT 40842 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Reconstruction of mouth CPT 40843 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Reconstruction of mouth CPT 40844 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Reconstruction of mouth CPT 40845 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $2,055.25 – $3,719.90 | 9 |
| Reconstruction of nose CPT 30410 | $1,800.70 | $3,274.00 | $2,277.00 – $10,672.90 | 10 |
| Reconstruction of nose CPT 30420 | $10,608.84 | $19,288.80 | $2,277.00 – $10,672.90 | 10 |
| Reconstruction of orbit CPT 21256 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Reconstruction of urethra CPT 53415 | not published | not published | $2,277.00 – $5,246.00 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Reconstruction of urethra CPT 54308 | not published | not published | $2,034.00 – $9,666.82 | 10 |
| Reconstruction of urethra CPT 54312 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Reconstruction of urethra CPT 54316 | not published | not published | $2,034.00 – $17,067.14 | 10 |
| Reconstruction of urethra CPT 54318 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Reconstruction of urethra CPT 54322 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Reconstruction of urethra CPT 54324 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Reconstruction of urethra CPT 54326 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,277.00 – $31,611.83 | 9 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $2,034.00 – $9,666.82 | 10 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reconstruct windpipe CPT 31780 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reconstruct windpipe CPT 31781 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Rectal sensation test CPT 91120 | not published | not published | $609.67 – $1,351.00 | 2 |
| Red blood cells each unit HCPCS P9021 | $413.05 | $751.00 | not published | 0 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $838.75 | $1,525.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $591.80 | $1,076.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $528.00 | $960.00 | $263.95 – $477.74 | 8 |
| Red cell mass multiple CPT 78121 | not published | not published | $107.53 – $978.92 | 8 |
| Red cell mass single CPT 78120 | $1,705.44 | $3,100.80 | $133.89 – $720.75 | 8 |
| Red cell sequestration CPT 78140 | not published | not published | $176.23 – $720.75 | 8 |
| Red cell survival study CPT 78130 | not published | not published | $218.66 – $720.75 | 8 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $2,277.00 – $5,692.64 | 9 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reduce testis torsion CPT 54600 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Reduction of facial bones CPT 21209 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Reduction of procidentia 45900 CPT 45900 | $628.32 | $1,142.40 | $926.34 – $2,277.00 | 10 |
| Reduction of skull defect CPT 62115 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reduction of skull defect CPT 62117 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Re-explore parathyroids CPT 60502 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $71.72 – $553.40 | 8 |
| Refill/maint pump/resvr syst CPT 96522 | $302.94 | $550.80 | $187.26 – $383.48 | 8 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Reinforce clavicle CPT 23490 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Reinforce eye wall CPT 67250 | not published | not published | $2,034.00 – $4,286.38 | 10 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $2,034.00 – $7,452.17 | 10 |
| Reinforce hip bones CPT 27187 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $2,034.00 – $23,146.94 | 10 |
| Reinforce thigh CPT 27495 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Reinforce tibia CPT 27745 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Reinnervate larynx CPT 31590 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Reinsert ocular implant CPT 65155 | not published | not published | $2,034.00 – $7,087.94 | 10 |
| Release encircling material CPT 67115 | not published | not published | $1,778.00 – $7,452.17 | 10 |
| Release eye tissue CPT 67343 | not published | not published | $2,277.00 – $4,286.38 | 10 |
| Release facial nerve CPT 69720 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Release facial nerve CPT 69725 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Release facial nerve CPT 69955 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Release finger contracture CPT 26525 | $849.20 | $1,544.00 | $1,601.73 – $2,899.06 | 10 |
| Release forearm/hand tendon CPT 26449 | $914.10 | $1,662.00 | $2,034.00 – $5,899.11 | 10 |
| Release inner ear canal CPT 69960 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Release knuckle contracture CPT 26520 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Release middle ear bone CPT 69650 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Release muscles of hand CPT 26593 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Release of eye fluid CPT 67015 | not published | not published | $1,325.00 – $4,160.79 | 10 |
| Release of foot tendon CPT 28220 | not published | not published | $1,601.73 – $2,899.06 | 9 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Release of foot tendons CPT 28222 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Release of foot tendons CPT 28226 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Release of lower leg tendon CPT 27680 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Release of lower leg tendons CPT 27681 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Release of lung 32220 CPT 32220 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Release of midfoot joint CPT 28260 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Release of shoulder ligament CPT 23415 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Release of skull seams CPT 61550 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Release of skull seams CPT 61552 | not published | not published | $2,277.00 – $3,233.00 | 2 |
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.