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 |
|---|---|---|---|---|
| Revision of radius CPT 25355 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Revision of scrotum CPT 55175 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Revision of scrotum CPT 55180 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,034.00 – $6,158.99 | 10 |
| Revision of testis CPT 54660 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Revision of toe CPT 28312 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of ulna CPT 25360 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Revision of upper arm CPT 24940 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Revision of ureter CPT 50700 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Revision of urethra CPT 53460 | not published | not published | $1,325.00 – $6,355.21 | 10 |
| Revision of urethra CPT 57220 | not published | not published | $2,034.00 – $9,018.95 | 10 |
| Revision of urinary tract CPT 51820 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $2,277.00 – $10,032.25 | 10 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Revision tips CPT 37183 | not published | not published | $2,277.00 – $10,261.36 | 9 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $123.96 – $224.36 | 8 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $2,277.00 – $10,032.25 | 10 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $2,277.00 – $10,032.25 | 10 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $3,233.00 – $7,496.00 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $2,034.00 – $9,666.82 | 10 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,277.00 – $6,303.15 | 10 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,325.00 – $6,303.15 | 10 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,325.00 – $6,303.15 | 10 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,325.00 – $6,303.15 | 10 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,277.00 – $31,611.83 | 9 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,277.00 – $31,611.83 | 9 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $2,277.00 – $55,633.53 | 9 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $2,277.00 – $31,611.83 | 9 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $2,277.00 – $20,089.23 | 9 |
| Revsc opn/prq tib/pero stent CPT 37234 | $8,098.75 | $14,725.00 | $13,080.00 – $14,326.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.94 – $19.80 | 8 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $364.72 | $663.12 | $1,945.12 – $3,962.00 | 10 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.53 – $11.05 | 8 |
| Rheumatoid factor quantitative CPT 86431 | $40.70 | $74.00 | $5.10 – $10.21 | 8 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $3,805.37 | $6,918.85 | $2,277.00 – $10,672.90 | 10 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $34.83 – $64.42 | 8 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $525.72 – $5,844.90 | 8 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $342.26 – $5,844.90 | 8 |
| Rhythm ecg with report CPT 93040 | not published | not published | $23.10 – $23.10 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Right heart cath congenital CPT 93530 | not published | not published | $7,666.00 – $7,666.00 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $116.92 – $7,666.00 | 9 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.45 – $26.16 | 8 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $31.70 – $67.55 | 8 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $11.04 – $19.99 | 8 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $72.87 – $131.90 | 8 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.19 – $65.50 | 8 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $33.74 – $62.21 | 8 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $18.43 – $33.36 | 8 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $16.07 – $29.09 | 8 |
| R & l heart cath congenital CPT 93531 | not published | not published | $7,666.00 – $7,666.00 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $7,666.00 – $7,666.00 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $7,666.00 – $7,666.00 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,764.13 – $5,844.90 | 8 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $1,584.31 – $5,844.90 | 8 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $705.37 – $2,277.00 | 10 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $1,778.00 – $5,236.93 | 10 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $594.66 | $1,081.20 | $1,325.00 – $2,977.67 | 10 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $2,277.00 – $6,158.99 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $2,277.00 – $6,737.39 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $13,054.66 | $23,735.75 | $2,277.00 – $40,103.08 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $24,312.97 | $44,205.40 | $2,277.00 – $56,591.17 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $27,770.35 | $50,491.55 | $2,277.00 – $40,103.08 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $1,902.94 | $3,459.90 | $2,277.00 – $6,737.39 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,824.90 | $3,318.00 | $624.86 – $2,277.00 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $2,786.49 | $5,066.35 | $2,277.00 – $14,919.75 | 10 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $2,277.00 – $6,303.15 | 10 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $2,277.00 – $6,303.15 | 10 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $2,277.00 – $6,303.15 | 10 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $8,132.19 | $14,785.80 | $2,277.00 – $34,727.02 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $10,319.90 | $18,763.45 | $2,277.00 – $14,919.75 | 9 |
| Rmvl pq iabp CPT 33968 | $3,309.24 | $6,016.80 | $2,277.00 – $8,334.00 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $2,277.00 – $3,233.00 | 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.