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 |
|---|---|---|---|---|
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $2,034.00 – $17,067.14 | 10 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Rsv assay w/optic CPT 87807 | $135.30 | $246.00 | $11.79 – $23.58 | 8 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $31.30 – $240.03 | 8 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $37.18 – $67.29 | 8 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $37.18 – $67.29 | 8 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $37.18 – $67.29 | 8 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.00 – $45.25 | 8 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $25.05 – $45.34 | 8 |
| Rubella antibody igg CPT 86762 | $69.30 | $126.00 | $12.95 – $25.90 | 8 |
| Rubeola ag if CPT 87283 | not published | not published | $31.30 – $109.44 | 8 |
| Rubeola antibody igg CPT 86765 | $83.05 | $151.00 | $11.59 – $23.18 | 8 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $296.56 – $593.12 | 8 |
| Russell viper venom diluted CPT 85613 | $139.15 | $253.00 | $8.62 – $17.24 | 8 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $825.37 – $1,650.74 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $37.43 – $67.75 | 9 |
| Safety plan interven HCPCS G0560 | not published | not published | $38.83 – $70.27 | 8 |
| Salivary gland function exam CPT 78232 | not published | not published | $130.06 – $720.75 | 8 |
| Salivary gland imaging CPT 78230 | not published | not published | $253.17 – $720.75 | 8 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $174.58 – $720.75 | 8 |
| Salmonella antibody CPT 86768 | $34.65 | $63.00 | $11.87 – $23.74 | 8 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,277.00 – $5,836.23 | 9 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $132.62 – $240.03 | 8 |
| Sargramostim injection HCPCS J2820 | not published | not published | $62.13 – $112.45 | 8 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $38.00 – $92.57 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $171.23 – $171.23 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.14 – $63.59 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $158.95 | $289.00 | $58.74 – $126.52 | 8 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $2,277.00 – $10,945.26 | 10 |
| Sbrt management CPT 77435 | not published | not published | $1,103.62 – $1,103.62 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $101.19 – $183.16 | 8 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $914.10 | $1,662.00 | $237.67 – $430.18 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $841.60 | $1,530.19 | $104.14 – $188.49 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $660.24 | $1,200.43 | $237.67 – $430.18 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $231.06 | $420.10 | $104.14 – $188.49 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $432.17 | $785.76 | $104.14 – $188.49 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $529.14 | $962.08 | $104.14 – $188.49 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,188.00 | $2,160.00 | $237.67 – $430.18 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $520.17 | $945.76 | $104.14 – $188.49 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $505.20 | $918.55 | $104.14 – $188.49 | 8 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,617.66 | $2,941.20 | $1,645.17 – $3,962.00 | 10 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,005.11 | $3,645.65 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $13.64 – $33.37 | 8 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $19.78 – $55.49 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $27.58 – $57.49 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $38.08 – $79.15 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $23.84 – $47.68 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $24.35 – $48.69 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | $161.70 | $294.00 | $18.23 – $36.47 | 8 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $19.78 – $55.49 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $398.25 – $1,676.63 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $398.25 – $1,676.63 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $24.42 | $44.40 | $16.25 – $32.49 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $25.44 – $50.89 | 8 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $36.90 – $83.43 | 8 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $21.67 – $43.34 | 8 |
| Screening Mammogram CPT 77067 | $170.50 | $310.00 | $85.16 – $154.13 | 8 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $19.78 – $55.49 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $78.10 | $142.00 | $17.38 – $34.76 | 8 |
| Screen pap by tech w md supv HCPCS P3000 | $131.45 | $239.00 | $13.64 – $33.37 | 8 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $5.05 – $5.05 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $3,660.78 | $6,655.97 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $71.72 – $129.81 | 8 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $6,703.15 | $12,187.55 | $1,351.00 – $2,277.00 | 2 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $10.46 – $10.46 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $12.10 | $22.00 | $2.43 – $4.86 | 8 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $58.76 – $106.36 | 8 |
| Self-meas bp pt educaj/train CPT 99473 | $0.01 | $0.01 | $28.81 – $52.15 | 8 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $22.65 – $22.65 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $16.59 – $16.59 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $5.85 – $11.70 | 8 |
| Semen analysis presence/motility CPT 89321 | $82.50 | $150.00 | $10.85 – $21.69 | 8 |
| Semen analysis w/count CPT 89310 | not published | not published | $7.75 – $15.50 | 8 |
| Sensorimotor examination CPT 92060 | not published | not published | $45.73 – $106.36 | 8 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.21 – $67.34 | 8 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,277.00 – $4,286.38 | 10 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $158.84 – $345.60 | 8 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,778.00 – $13,082.27 | 10 |
| Serial casting application 97139app CPT 97139 | not published | not published | $29.92 – $29.92 | 1 |
| Serial tonometry CPT 92100 | $60.36 | $109.74 | $60.62 – $60.62 | 1 |
| Serpina1 gene CPT 81332 | $284.90 | $518.00 | $39.29 – $78.57 | 8 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $37.61 – $37.61 | 1 |
| Set radiation therapy field CPT 77280 | $542.10 | $985.63 | $133.89 – $242.33 | 8 |
| Set radiation therapy field CPT 77285 | $567.43 | $1,031.69 | $372.97 – $675.06 | 8 |
| Set radiation therapy field CPT 77290 | $1,182.14 | $2,149.35 | $372.97 – $675.06 | 8 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $67.66 – $553.74 | 8 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $40.78 – $40.78 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Sex chromatin identification CPT 88130 | not published | not published | $16.18 – $32.36 | 8 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.19 – $14.38 | 8 |
| Sex transformation f to m CPT 55980 | not published | not published | $2,277.00 – $6,355.21 | 9 |
| Sex transformation m to f CPT 55970 | not published | not published | $2,277.00 – $9,018.95 | 9 |
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.