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 knee joint lining CPT 27334 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Remove knee joint lining CPT 27335 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove lung foreign body CPT 32151 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Remove mastoid air cells CPT 69670 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Remove mastoid structures CPT 69505 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Remove middle ear nerve CPT 69676 | not published | not published | $2,034.00 – $5,977.46 | 10 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Remove nasal foreign body CPT 30310 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Remove nasal foreign body CPT 30320 | not published | not published | $1,545.54 – $2,797.36 | 10 |
| Remove nerve lesion CPT 64784 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove part lumbar vertebra CPT 22114 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Remove part of temporal bone CPT 69535 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove part thorax vertebra CPT 22112 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove penis & nodes CPT 54130 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove penis & nodes CPT 54135 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Remove pilonidal cyst exten CPT 11771 | $588.50 | $1,070.00 | $2,034.00 – $5,236.93 | 10 |
| Remove pituit tumor w/scope CPT 62165 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove prostate regrowth CPT 52630 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Remove pulmonary shunt CPT 33924 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove rectum w/reservoir CPT 45119 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove renal tube w/fluoro CPT 50389 | $175.56 | $319.20 | $694.58 – $2,277.00 | 10 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $2,034.00 – $37,367.25 | 10 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $1,325.00 – $37,367.25 | 10 |
| Remove/revise male sling CPT 53442 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Remove sacrum pressure sore close 15936 CPT 15936 | $1,243.55 | $2,261.00 | $2,055.25 – $3,719.90 | 10 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | $1,396.45 | $2,539.00 | $2,055.25 – $3,719.90 | 10 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $2,034.00 – $6,158.99 | 10 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $1,922.00 – $5,236.93 | 10 |
| Remove shoulder foreign body subq 23330 CPT 23330 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove sperm duct pouch CPT 55650 | not published | not published | $1,922.00 – $2,277.00 | 2 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $2,277.00 – $10,305.00 | 3 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $1,945.12 – $3,962.00 | 10 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $2,277.00 – $6,303.15 | 10 |
| Remove spine fixation device CPT 22850 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Remove spine fixation device CPT 22852 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Remove spine infusion device CPT 62365 | not published | not published | $1,778.00 – $6,158.99 | 10 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove stent via transureth CPT 50386 | not published | not published | $1,325.00 – $3,768.77 | 10 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,945.12 – $3,520.58 | 9 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Remove tear gland lesion CPT 68540 | not published | not published | $2,034.00 – $4,286.38 | 10 |
| Remove tear gland lesion CPT 68550 | not published | not published | $2,034.00 – $7,087.94 | 10 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $1,778.00 – $10,899.52 | 10 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Remove/transplant tendon CPT 23440 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Remove & treat brain lesion CPT 61544 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove ureter calculus CPT 51065 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Remove ureter stent percut CPT 50384 | not published | not published | $1,325.00 – $3,768.77 | 10 |
| Remove uro sphincter CPT 53446 | not published | not published | $1,325.00 – $9,666.82 | 10 |
| Remove vaginal foreign body 57415 CPT 57415 | not published | not published | $1,778.00 – $5,836.23 | 10 |
| Remove vagina tissue part CPT 57107 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $2,277.00 – $6,158.99 | 10 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $2,277.00 – $12,723.94 | 10 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $2,277.00 – $6,721.86 | 10 |
| Remove ventilating tube CPT 69424 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Remove ventricular device CPT 33978 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vert body dcmprn lmbr CPT 63090 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vert body dcmprn lmbr CPT 63102 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vert body dcmprn thrc CPT 63085 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vert body dcmprn thrc CPT 63101 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vertebral body add-on CPT 63086 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vertebral body add-on CPT 63088 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vertebral body add-on CPT 63091 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vertebral body add-on CPT 63103 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Remove vertebral body add-on CPT 63308 | not published | not published | $2,277.00 – $10,305.00 | 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.