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 |
|---|---|---|---|---|
| Release of ureter CPT 50715 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Release of ureter CPT 50722 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Release of ureter CPT 50940 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Release palm contracture CPT 26040 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Release palm contracture CPT 26121 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Release palm contracture CPT 26123 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Release palm contracture CPT 26125 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Release palm & finger tendon CPT 26442 | $1,254.55 | $2,281.00 | $2,034.00 – $5,899.11 | 10 |
| Release palm/finger tendon CPT 26440 | $806.30 | $1,466.00 | $1,601.73 – $2,899.06 | 10 |
| Release/revise ureter CPT 50725 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $2,277.00 – $10,305.00 | 3 |
| Release thumb contracture CPT 26508 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Release wrist/forearm tendon CPT 25295 | $695.20 | $1,264.00 | $2,034.00 – $5,899.11 | 10 |
| Relieve bladder contracture CPT 52640 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Relocation of testis(es) CPT 54680 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Relocation skin pocket aicd CPT 33223 | $1,556.53 | $2,830.05 | $2,055.25 – $11,517.00 | 10 |
| Relocation skin pocket pm CPT 33222 | $1,556.53 | $2,830.05 | $2,055.25 – $11,517.00 | 10 |
| Rem/biv cast full arm/leg CPT 29705 | $714.12 | $1,298.40 | $278.60 – $2,277.00 | 9 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $278.60 – $2,277.00 | 9 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $6.73 – $13.52 | 8 |
| Rem endovas vena cava filter CPT 37193 | $3,973.09 | $7,223.80 | $2,277.00 – $5,692.64 | 9 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $37.18 – $67.29 | 8 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $37.18 – $67.29 | 8 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $37.18 – $67.29 | 8 |
| Rem interrog evl pm/ldls pm CPT 93294 | $76.73 | $139.51 | $59.46 – $59.46 | 1 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $132.62 – $240.03 | 8 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $37.18 – $67.29 | 8 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $46.02 – $46.02 | 1 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $371.70 – $672.77 | 8 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $7.90 – $14.29 | 8 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal allograft pancreas CPT 48556 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Removal biliary drg cath CPT 47537 | $1,077.92 | $1,959.85 | $903.45 – $2,277.00 | 10 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,705.44 | $3,100.80 | $624.86 – $2,277.00 | 10 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,551.46 | $6,457.20 | $1,325.00 – $2,838.05 | 10 |
| Removal cerclage w/anes CPT 59871 | $7,599.24 | $13,816.80 | $2,277.00 – $5,836.23 | 10 |
| Removal cerclage without anes CPT 59899 | not published | not published | $201.38 – $2,277.00 | 9 |
| Removal cerumen impacted (both sides) CPT 69210 | $341.22 | $620.40 | $58.76 – $2,277.00 | 9 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $2,277.00 – $10,032.25 | 10 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $2,277.00 – $10,032.25 | 10 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $566.28 | $1,029.60 | $63.88 – $361.72 | 8 |
| Removal duct glbldr calculi CPT 47544 | $2,973.30 | $5,406.00 | $1,351.00 – $2,277.00 | 2 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $169.62 | $308.40 | $903.45 – $2,277.00 | 9 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $7,715.40 | $14,028.00 | $1,325.00 – $2,977.67 | 10 |
| Removal foreign body foot cmplx CPT 28193 | $716.76 | $1,303.20 | $1,645.17 – $2,977.67 | 10 |
| Removal foreign body foot subcutaneous right CPT 28190 | $2,195.16 | $3,991.20 | $705.37 – $2,277.00 | 10 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Removal foreign body mouth CPT 40805 | not published | not published | $537.23 – $2,277.00 | 10 |
| Removal implant from finger/hand 26320 CPT 26320 | $456.50 | $830.00 | $1,645.17 – $2,977.67 | 10 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Removal kidney open complex CPT 50225 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal kidney open radical CPT 50230 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $1,325.00 – $7,059.16 | 10 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $2,034.00 – $7,059.16 | 10 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $2,277.00 – $11,971.60 | 10 |
| Removal of adenoids CPT 42830 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Removal of adenoids CPT 42831 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Removal of adenoids CPT 42836 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Removal of anal fissure CPT 46200 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Removal of anal tags CPT 46230 | not published | not published | $1,325.00 – $5,004.26 | 10 |
| Removal of ankle bone CPT 28130 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Removal of ankle implant CPT 27704 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Removal of artery clot CPT 34051 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $2,034.00 – $10,032.25 | 10 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of bladder CPT 51570 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of bladder lesion CPT 51520 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Removal of bladder lesion CPT 51525 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Removal of bladder lesion CPT 51530 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of bladder stone CPT 51050 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Removal of bone for graft CPT 20900 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Removal of bone for graft CPT 20902 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Removal of bone lesion CPT 23140 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Removal of bone lesion CPT 23145 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Removal of bone lesion CPT 23146 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Removal of brain abscess CPT 61522 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain lesion CPT 61520 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain lesion CPT 61521 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain lesion CPT 61524 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain lesion CPT 61526 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain lesion CPT 61530 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain lesion CPT 61534 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain lesion CPT 61536 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain tissue CPT 61537 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain tissue CPT 61538 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain tissue CPT 61539 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain tissue CPT 61540 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Removal of brain tissue CPT 61543 | 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.