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 |
|---|---|---|---|---|
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $2,277.00 – $6,455.13 | 10 |
| Rerevise eye muscles add-on CPT 67332 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Rescj external cardiac tumor CPT 33130 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resc recr ovr tbl pp utr mal CPT 58958 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect diaphragm complex CPT 39561 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect distal finger tumor CPT 26262 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Resect enlarged toe CPT 28341 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Resect/excise cranial lesion CPT 61600 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect/excise cranial lesion CPT 61601 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect/excise cranial lesion CPT 61605 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect/excise cranial lesion CPT 61606 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect/excise cranial lesion CPT 61607 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Resect fibula tumor CPT 27646 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Resect hip tumor CPT 27075 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect inferior turbinate CPT 30140 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Resection of elbow joint CPT 24155 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Resect prox finger tumor CPT 26260 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Resect recurrent gyn mal CPT 58957 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Resect tarsal tumor CPT 28171 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Resect thigh/knee tum < 5 cm CPT 27329 | $1,401.40 | $2,548.00 | $2,277.00 – $5,236.93 | 10 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Resect tibia tumor CPT 27645 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.94 – $21.11 | 8 |
| Respirator motion mgmt simul CPT 77293 | $194.72 | $354.04 | $530.17 – $530.17 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $12.99 – $25.97 | 8 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $14.79 – $29.57 | 8 |
| Resp virus 6-11 targets CPT 87632 | $873.95 | $1,589.00 | $196.25 – $392.51 | 8 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $123.96 – $224.36 | 8 |
| Resuscitation cardiopulmonary CPT 92950 | $771.21 | $1,402.20 | $215.08 – $389.29 | 8 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $658.37 – $1,191.62 | 8 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,943.77 – $2,943.77 | 1 |
| Reticulated platelet assay CPT 85055 | not published | not published | $23.94 – $64.33 | 8 |
| Reticulocyte automated CPT 85045 | $53.90 | $98.00 | $3.59 – $7.18 | 8 |
| Reticulocyte direct measurement automated CPT 85046 | $42.35 | $77.00 | $5.01 – $10.03 | 8 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $30.81 – $55.77 | 8 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Retrieval of oocyte CPT 58970 | not published | not published | $917.46 – $2,277.00 | 10 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $17.63 – $35.26 | 8 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | not published | not published | $5,669.40 – $10,261.36 | 8 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | not published | not published | $5,669.40 – $10,261.36 | 8 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | not published | not published | $18,260.25 – $33,050.22 | 8 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | not published | not published | $18,260.25 – $33,050.22 | 8 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | not published | not published | $18,260.25 – $33,050.22 | 8 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Revasc evasc imvt angio sf 1st CPT 37296 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | not published | not published | $5,669.40 – $10,261.36 | 8 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Revasc evasc ivt stent sf 1st CPT 37258 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | not published | not published | $18,260.25 – $33,050.22 | 8 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | not published | not published | $18,260.25 – $33,050.22 | 8 |
| Revasc intra lithotrip-ather HCPCS C9766 | not published | not published | $6,198.00 – $33,050.22 | 8 |
| Revasc intra lithotrip-stent HCPCS C9765 | not published | not published | $6,198.00 – $33,050.22 | 8 |
| Revasc intravasc lithotripsy HCPCS C9764 | not published | not published | $6,120.00 – $20,813.09 | 8 |
| Revasc lithotr-ather tib/per HCPCS C9774 | not published | not published | $6,198.00 – $33,050.22 | 8 |
| Revasc lithotrip-stent-ather HCPCS C9767 | not published | not published | $6,198.00 – $33,050.22 | 8 |
| Revasc lithotrip tibi/perone HCPCS C9772 | not published | not published | $6,198.00 – $20,813.09 | 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.