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 |
|---|---|---|---|---|
| Revise thumb tendon CPT 26490 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revise thumb tendon CPT 26496 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revise two eye muscles CPT 67312 | not published | not published | $2,277.00 – $7,087.94 | 10 |
| Revise two eye muscles CPT 67316 | not published | not published | $2,277.00 – $4,286.38 | 10 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Revise ureter CPT 50727 | not published | not published | $2,277.00 – $6,355.21 | 9 |
| Revise ureter CPT 50728 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $2,034.00 – $9,666.82 | 10 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Revise urine flow CPT 50830 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revise vag graft open abd CPT 57296 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $2,034.00 – $5,836.23 | 10 |
| Revise windpipe scar CPT 31830 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Revise wrist/forearm tendon CPT 25280 | $749.10 | $1,362.00 | $2,277.00 – $5,899.11 | 10 |
| Revise wrist joint CPT 25332 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of amputation CPT 24935 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Revision of ankle joint CPT 27700 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $2,277.00 – $5,340.00 | 10 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Revision of big toe CPT 28310 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of bladder neck CPT 52500 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of calf tendon CPT 27687 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revision of cervix CPT 57720 | $4,107.84 | $7,468.80 | $2,034.00 – $5,836.23 | 10 |
| Revision of cervix CPT 59320 | $3,562.68 | $6,477.60 | $1,325.00 – $5,836.23 | 10 |
| Revision of circulation CPT 37140 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of circulation CPT 37145 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of circulation CPT 37160 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of circulation CPT 37180 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of collar bone CPT 23480 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Revision of collar bone CPT 23485 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Revision of colostomy CPT 44340 | not published | not published | $2,034.00 – $6,389.00 | 10 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $2,277.00 – $6,389.00 | 9 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $2,277.00 – $6,389.00 | 9 |
| Revision of cornea CPT 65600 | not published | not published | $2,277.00 – $4,286.38 | 9 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Revision of eyelid CPT 67880 | not published | not published | $2,034.00 – $4,286.38 | 10 |
| Revision of eyelid CPT 67882 | not published | not published | $2,034.00 – $4,286.38 | 10 |
| Revision of eyelid CPT 67950 | not published | not published | $1,778.00 – $4,286.38 | 10 |
| Revision of eyelid CPT 67961 | not published | not published | $2,034.00 – $4,286.38 | 10 |
| Revision of eyelid CPT 67966 | not published | not published | $2,034.00 – $4,286.38 | 10 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Revision of foot CPT 28116 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revision of foot and ankle CPT 28262 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Revision of foot bones CPT 28737 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revision of foot tendon CPT 28238 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,601.73 – $2,899.06 | 10 |
| Revision of heart chamber CPT 33476 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of heart chamber CPT 33735 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of heart chamber CPT 33736 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of heart chamber CPT 33737 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of hip bone CPT 27147 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Revision of hip bones CPT 27156 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Revision of hip tendon CPT 27097 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $2,277.00 – $6,389.00 | 9 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $1,325.00 – $6,389.00 | 10 |
| Revision of infusion pump CPT 36261 | not published | not published | $1,778.00 – $6,737.39 | 10 |
| Revision of iris CPT 66761 | not published | not published | $547.86 – $2,277.00 | 10 |
| Revision of iris CPT 66762 | not published | not published | $547.86 – $2,277.00 | 10 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,325.00 – $2,797.36 | 10 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Revision of knee joint CPT 27440 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Revision of knee joint CPT 27441 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Revision of knee joint CPT 27442 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Revision of knee joint CPT 27443 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Revision of knee joint CPT 27446 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Revision of knee joint CPT 27445 | not published | not published | $2,277.00 – $9,856.00 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,922.00 – $5,692.64 | 10 |
| Revision of lung CPT 32940 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of mitral valve CPT 33420 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of mitral valve CPT 33422 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of neck muscle CPT 21700 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Revision of neck muscle CPT 21720 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revision of neck muscle CPT 21725 | not published | not published | $705.37 – $2,277.00 | 10 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Revision of nose CPT 30120 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Revision of nose CPT 30430 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Revision of nose CPT 30435 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Revision of nose CPT 30450 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Revision of nose CPT 30460 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Revision of nose CPT 30462 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Revision of pelvis CPT 27158 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Revision of penis CPT 54300 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Revision of penis CPT 54304 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Revision of penis CPT 54420 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Revision of penis CPT 54430 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of penis CPT 54435 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of radius CPT 25350 | not published | not published | $2,034.00 – $13,082.27 | 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.