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 |
|---|---|---|---|---|
| Biopsy finger joint lining CPT 26105 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Biopsy forearm soft tissues CPT 25066 | $470.25 | $855.00 | $1,778.00 – $5,236.93 | 10 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $4,297.26 | $7,813.20 | $1,325.00 – $5,236.93 | 10 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Biopsy muscle percutaneous needle CPT 20206 | $428.34 | $778.80 | $1,325.00 – $2,977.67 | 10 |
| Biopsy needle liver percutaneous CPT 47000 | $2,737.02 | $4,976.40 | $1,325.00 – $2,977.67 | 10 |
| Biopsy needle lymph node superficial CPT 38505 | $1,821.60 | $3,312.00 | $1,325.00 – $2,977.67 | 10 |
| Biopsy of cornea CPT 65410 | not published | not published | $1,778.00 – $4,286.38 | 10 |
| Biopsy of epididymis CPT 54800 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Biopsy of heart lining CPT 93505 | not published | not published | $892.97 – $7,666.00 | 9 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $903.45 – $2,277.00 | 10 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $235.93 – $2,277.00 | 9 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $705.37 – $2,277.00 | 10 |
| Biopsy of nerve CPT 64795 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $2,034.00 – $5,836.23 | 10 |
| Biopsy of penis CPT 54105 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $1,325.00 – $2,977.67 | 10 |
| Biopsy of prostate CPT 55700 | $1,410.42 | $2,564.40 | $1,778.00 – $2,745.00 | 3 |
| Biopsy of prostate CPT 55705 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $1,325.00 – $5,004.26 | 10 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Biopsy of salivary gland 42400 CPT 42400 | $2,622.84 | $4,768.80 | $705.37 – $2,277.00 | 10 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $1,545.54 – $2,797.36 | 10 |
| Biopsy of tear gland CPT 68510 | not published | not published | $1,325.00 – $4,286.38 | 10 |
| Biopsy of tear sac CPT 68525 | not published | not published | $1,325.00 – $4,286.38 | 10 |
| Biopsy of testis CPT 54500 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Biopsy of testis CPT 54505 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Biopsy of urethra CPT 53200 | not published | not published | $1,325.00 – $3,768.77 | 10 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $134.24 – $307.16 | 8 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $134.24 – $307.16 | 8 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $1,778.00 – $7,059.16 | 10 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $1,778.00 – $7,059.16 | 10 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,166.78 | $3,939.60 | $1,325.00 – $2,977.67 | 10 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Biopsy skin incisional single lesion CPT 11106 | $1,010.46 | $1,837.20 | $736.19 – $2,277.00 | 10 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,693.46 | $4,897.20 | $1,325.00 – $2,977.67 | 10 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $1,325.00 – $5,236.93 | 10 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $537.23 – $2,277.00 | 10 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $1,778.00 – $5,836.23 | 10 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $537.23 – $2,277.00 | 9 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Biospy of bladder CPT 53899 | $84.64 | $153.90 | $248.88 – $2,277.00 | 9 |
| Biotinidase - quest CPT 82261 | $165.00 | $300.00 | $15.18 – $30.37 | 8 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $128.17 – $231.99 | 8 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $198.00 | $360.00 | $248.88 – $2,277.00 | 9 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $439.46 – $2,277.00 | 10 |
| Bld prd mix CPT 86965 | $55.55 | $101.00 | $36.83 – $307.16 | 8 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $439.46 – $2,277.00 | 10 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $710.60 | $1,292.00 | $2,055.25 – $3,719.90 | 10 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $161.66 – $311.22 | 8 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $6,198.00 – $20,813.09 | 8 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $371.70 – $672.77 | 8 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $8,334.00 – $30,882.85 | 8 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $8,334.00 – $30,882.85 | 8 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $6,198.00 – $17,206.55 | 8 |
| Blink reflex test CPT 95933 | not published | not published | $58.76 – $106.36 | 8 |
| Blm gene CPT 81209 | not published | not published | $35.38 – $70.76 | 8 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $1,375.84 | $2,501.52 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $445.21 | $809.48 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,843.92 | $10,625.30 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $827.75 | $1,505.00 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $881.03 – $2,277.00 | 10 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $881.03 – $2,277.00 | 10 |
| Block paracervical nrv CPT 64435 | not published | not published | $703.13 – $2,277.00 | 10 |
| Block plantar digital nerve CPT 64455 | $47.85 | $87.00 | $305.76 – $2,277.00 | 9 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Block tap inj(s) w/wo img uni CPT 64486 | $81.18 | $147.60 | $1,351.00 – $2,277.00 | 2 |
| Blood Clotting (PT/INR) Test CPT 85610 | $29.15 | $53.00 | $3.86 – $7.72 | 8 |
| Blood Clotting (PTT) Test CPT 85730 | $55.55 | $101.00 | $5.41 – $10.82 | 8 |
| Blood Count (CBC) Test CPT 85025 | $39.05 | $71.00 | $6.99 – $13.99 | 8 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $27.50 | $50.00 | $5.82 – $11.65 | 8 |
| Blood count spun microhematocrit CPT 85013 | $99.55 | $181.00 | $6.19 – $12.60 | 8 |
| Blood Culture Test CPT 87040 | $72.05 | $131.00 | $9.29 – $18.58 | 8 |
| Blood draw capillary 36416 CPT 36416 | $9.35 | $17.00 | $2.83 – $2,277.00 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $380.05 | $691.00 | $70.89 – $141.79 | 8 |
| Blood gases ph venous CPT 82800 | $310.75 | $565.00 | $9.90 – $19.80 | 8 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $19.25 | $35.00 | $14.33 – $28.66 | 8 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $51.70 | $94.00 | $3.81 – $7.61 | 8 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $24.20 | $44.00 | $3.94 – $7.88 | 8 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $51.70 | $94.00 | $4.79 – $9.58 | 8 |
| Blood smear interpretation CPT 85060 | not published | not published | $22.29 – $43.68 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $20.90 | $38.00 | $3.42 – $6.84 | 8 |
| Blood split unit HCPCS P9011 | $458.15 | $833.00 | $100.60 – $280.51 | 8 |
| Blood typing abo CPT 86900 | $207.90 | $378.00 | $2.69 – $239.87 | 8 |
| Blood typing ag donor ea ag CPT 86902 | $163.90 | $298.00 | $5.72 – $646.24 | 8 |
| Blood typing patient serum CPT 86904 | $33.55 | $61.00 | $14.71 – $106.36 | 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.