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 |
|---|---|---|---|---|
| Remove bladder/create pouch CPT 51596 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove bladder/revise tract CPT 51580 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove bladder/revise tract CPT 51590 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove bladder/revise tract CPT 51595 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove bladder stone CPT 52317 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Remove bladder stone CPT 52318 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Remove blood clot from eye CPT 65930 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Remove brain canal fluid CPT 61050 | not published | not published | $305.76 – $2,277.00 | 10 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Remove brain electrodes CPT 61535 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove brain lining lesion 61512 CPT 61512 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove brain tumor w/scope CPT 62164 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove cadaver donor kidney CPT 50300 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove carotid body lesion CPT 60605 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove cartilage for graft CPT 20910 | not published | not published | $736.19 – $2,277.00 | 10 |
| Remove cartilage for graft CPT 20912 | not published | not published | $2,034.00 – $6,389.00 | 10 |
| Remove collar bone lesion CPT 23170 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Remove colloid cyst w/scope CPT 62162 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove coronoid process CPT 21070 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Remove cranial cavity fluid CPT 61001 | not published | not published | $703.13 – $2,277.00 | 10 |
| Remove cva lumen obstruct CPT 75902 | not published | not published | $94.10 – $94.10 | 1 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Remove drug implant HCPCS G0517 | not published | not published | $228.99 – $805.40 | 8 |
| Remove ear canal lesion(s) CPT 69145 | not published | not published | $1,778.00 – $5,236.93 | 10 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Remove electrode/thoracotomy CPT 33237 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove electrode/thoracotomy CPT 33238 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove electrode/thoracotomy 33236 CPT 33236 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | not published | $2,277.00 – $5,246.00 | 2 |
| Remove epididymis lesion CPT 54830 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Remove epididymis lesion CPT 54840 | not published | not published | $2,082.24 – $3,768.77 | 10 |
| Remove esophagus obstruction CPT 74235 | $498.30 | $906.00 | $166.91 – $166.91 | 1 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $2,277.00 – $5,977.46 | 9 |
| Remove ext hem groups 2+ CPT 46250 | not published | not published | $2,034.00 – $5,004.26 | 10 |
| Remove extra spine segment CPT 22103 | not published | not published | $1,351.00 – $5,340.00 | 3 |
| Remove extra spine segment CPT 22116 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Remove eye/attach implant CPT 65105 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Remove eye implant material CPT 67120 | not published | not published | $1,778.00 – $4,160.79 | 10 |
| Remove eye implant material CPT 67121 | not published | not published | $1,778.00 – $4,160.79 | 10 |
| Remove eye/insert implant CPT 65103 | not published | not published | $2,034.00 – $7,087.94 | 10 |
| Remove eye lesion CPT 65900 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Remove eye lesion CPT 66130 | not published | not published | $2,277.00 – $4,286.38 | 10 |
| Remove eyelid lesion CPT 67800 | not published | not published | $316.17 – $2,277.00 | 10 |
| Remove eyelid lesion CPT 67840 | not published | not published | $993.00 – $2,277.00 | 10 |
| Remove eyelid lesion(s) CPT 67808 | not published | not published | $1,778.00 – $4,286.38 | 10 |
| Remove eyelid lesions CPT 67801 | not published | not published | $993.00 – $2,277.00 | 10 |
| Remove eyelid lesions CPT 67805 | not published | not published | $316.17 – $2,277.00 | 10 |
| Remove eye/revise socket CPT 65112 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Remove eye/revise socket CPT 65114 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Remove femur lesion CPT 27355 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Remove femur lesion/fixation CPT 27358 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Remove femur lesion/graft CPT 27357 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove finger bone CPT 26185 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Remove foreign body brain CPT 61570 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove foreign body from eye CPT 65235 | $3,095.40 | $5,628.00 | $1,778.00 – $4,160.79 | 10 |
| Remove foreign body from eye CPT 65260 | not published | not published | $1,351.00 – $4,160.79 | 10 |
| Remove foreign body from eye CPT 65265 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $1,325.00 – $3,719.90 | 10 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $1,778.00 – $11,971.60 | 10 |
| Remove hand bone lesion CPT 26200 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Remove hip bone les deep CPT 27066 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Remove hip bone les super CPT 27065 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $1,778.00 – $5,236.93 | 10 |
| Remove humerus lesion CPT 23174 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Remove humerus lesion CPT 23184 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove implant of eye CPT 65920 | not published | not published | $2,277.00 – $4,160.79 | 10 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $2,034.00 – $5,004.26 | 10 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $2,034.00 – $5,004.26 | 10 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $2,277.00 – $5,004.26 | 10 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $2,277.00 – $5,004.26 | 10 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $2,034.00 – $5,004.26 | 10 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove inner ear CPT 69905 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Remove inner ear lesion CPT 69970 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Remove intact mammary implant CPT 19328 | not published | not published | $1,325.00 – $7,059.16 | 10 |
| Remove intestinal allograft CPT 44137 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $2,034.00 – $5,004.26 | 10 |
| Remove intra-aortic balloon CPT 33974 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove intracorporeal device CPT 33980 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove iris and lesion CPT 66600 | not published | not published | $2,034.00 – $7,452.17 | 10 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Remove kidney living donor CPT 50320 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove knee cyst CPT 27347 | not published | not published | $2,277.00 – $5,899.11 | 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.