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 |
|---|---|---|---|---|
| Repair of leg nerve CPT 64840 | not published | not published | $1,778.00 – $15,822.03 | 10 |
| Repair of leg tendon each CPT 27658 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Repair of leg tendon each CPT 27659 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Repair of leg tendon each CPT 27665 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Repair of low back nerves CPT 64862 | not published | not published | $2,034.00 – $6,158.99 | 10 |
| Repair of lower leg CPT 27725 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Repair of lower leg CPT 27727 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair of metatarsals CPT 28322 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair of nasal septum CPT 30520 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Repair of penis CPT 54440 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Repair of rectum CPT 45500 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Repair of rectum CPT 45505 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Repair of ruptured spleen 38115 CPT 38115 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Repair of ruptured uterus CPT 58520 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair of shoulder CPT 23420 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair of skull & brain CPT 62145 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair of sperm duct CPT 55400 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Repair of spinal herniation CPT 63702 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Repair of spinal herniation CPT 63704 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Repair of spinal herniation CPT 63706 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Repair of thigh CPT 27470 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Repair of thigh muscle CPT 27385 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Repair of tibia CPT 27720 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Repair of toe dislocation CPT 28675 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $2,034.00 – $6,158.99 | 10 |
| Repair of ureter CPT 50900 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair of urethra defect CPT 53275 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Repair of urethra defect CPT 53520 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Repair of urethra injury CPT 53505 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Repair of urethra injury CPT 53510 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Repair of urethra injury CPT 53515 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Repair of urethral lesion CPT 57230 | not published | not published | $2,034.00 – $5,836.23 | 10 |
| Repair of web finger CPT 26560 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Repair of web finger CPT 26561 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Repair of web finger CPT 26562 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Repair of windpipe CPT 31750 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Repair of windpipe CPT 31755 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Repair of windpipe defect CPT 31825 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Repair of windpipe injury CPT 31800 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Repair of windpipe injury CPT 31805 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Repair palate CPT 42182 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Repair palate CPT 42235 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Repair paravag defect lap CPT 57423 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $2,277.00 – $13,369.33 | 10 |
| Repair pda by ligation CPT 33820 | not published | not published | $2,277.00 – $6,064.00 | 2 |
| Repair pda div<18 years CPT 33822 | not published | not published | $2,277.00 – $6,198.00 | 2 |
| Repair pda div 18 yrs&older CPT 33824 | not published | not published | $2,277.00 – $6,064.00 | 2 |
| Repair penis CPT 54380 | not published | not published | $2,034.00 – $3,768.77 | 10 |
| Repair penis CPT 54385 | not published | not published | $2,034.00 – $3,768.77 | 10 |
| Repair penis and bladder CPT 54390 | not published | not published | $2,277.00 – $5,246.00 | 2 |
| Repair pm/icd lead dual CPT 33220 | not published | not published | $2,277.00 – $6,737.39 | 9 |
| Repair pm/icd lead sgl CPT 33218 | not published | not published | $2,277.00 – $6,737.39 | 9 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair radius or ulna CPT 25400 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Repair radius & ulna CPT 25415 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Repair rect/bladder fistula CPT 45800 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair rectourethral fistula CPT 45820 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair rectum & vagina CPT 57250 | not published | not published | $2,277.00 – $9,018.95 | 10 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $2,034.00 – $5,836.23 | 10 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $2,277.00 – $6,455.13 | 10 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $2,277.00 – $9,593.81 | 10 |
| Repair & revise nerve add-on CPT 64874 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $4,383.00 – $13,082.27 | 10 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $412.78 | $750.50 | $235.93 – $2,277.00 | 10 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $2,166.78 | $3,939.60 | $537.23 – $2,277.00 | 10 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair salivary duct CPT 42500 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Repair salivary duct CPT 42505 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Repair septal defect CPT 33813 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Repair shoulder capsule CPT 23450 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair shoulder capsule CPT 23455 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair shoulder capsule CPT 23460 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair shoulder capsule CPT 23462 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair shoulder capsule CPT 23465 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair shoulder capsule CPT 23466 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Repair single ventricle CPT 33617 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair single ventricle CPT 33619 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $2,034.00 – $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.