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 |
|---|---|---|---|---|
| Blood typing rbc ag non abo/rh ea CPT 86905 | $233.20 | $424.00 | $3.45 – $646.24 | 8 |
| Blood typing rh (d) CPT 86901 | $47.85 | $87.00 | $2.69 – $67.34 | 8 |
| Blood typing rh phenotype complete reference CPT 86906 | $134.75 | $245.00 | $6.98 – $67.34 | 8 |
| Blood volume CPT 78122 | not published | not published | $130.61 – $978.92 | 8 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,351.00 – $1,351.00 | 1 |
| Bone biopsy open superficial CPT 20240 | $3,928.32 | $7,142.40 | $1,778.00 – $5,236.93 | 10 |
| Bone Density Scan (DEXA) CPT 77080 | $224.40 | $408.00 | $65.51 – $188.49 | 8 |
| Bone imaging multiple areas CPT 78305 | $827.64 | $1,504.80 | $330.68 – $720.75 | 8 |
| Bone/joint imaging ltd area CPT 78300 | $784.08 | $1,425.60 | $252.07 – $720.75 | 8 |
| Bone marrow;aspiration only 38220 CPT 38220 | $467.28 | $849.60 | $1,325.00 – $2,977.67 | 10 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $839.52 | $1,526.40 | $1,325.00 – $2,977.67 | 10 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,551.36 – $2,807.89 | 9 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $2,277.00 – $7,852.56 | 10 |
| Bone marrow imaging body CPT 78104 | not published | not published | $352.67 – $720.75 | 8 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $241.08 – $720.75 | 8 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $304.85 – $720.75 | 8 |
| Bone marrow interpretation CPT 85097 | $304.15 | $553.00 | $86.55 – $1,452.56 | 8 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Bone survey-lead poisoning CPT 77074 | $456.06 | $829.20 | $80.36 – $188.49 | 8 |
| Borrelia antibody CPT 86619 | $79.20 | $144.00 | $12.04 – $24.08 | 8 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $52.80 | $96.00 | $15.33 – $30.65 | 8 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $31.58 – $63.16 | 8 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.09 – $6.17 | 8 |
| Bowel imaging CPT 78290 | $969.54 | $1,762.80 | $398.21 – $720.75 | 8 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,034.00 – $5,236.93 | 10 |
| Brach/thor cath 1st CPT 36215 | $626.34 | $1,138.80 | $1,351.00 – $2,277.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | $656.04 | $1,192.80 | $1,351.00 – $2,277.00 | 2 |
| Brach/thor cath 3rd CPT 36217 | $743.82 | $1,352.40 | $1,351.00 – $2,277.00 | 2 |
| Brach/thor cath addl CPT 36218 | $117.48 | $213.60 | $1,351.00 – $2,277.00 | 2 |
| Brachy source i-125 injection HCPCS C2638 | $119.43 | $217.15 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $101.70 | $184.90 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $153.13 | $278.42 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $135.99 | $247.25 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $274.34 | $498.80 | not published | 0 |
| Brachytx isodose complex CPT 77318 | $540.97 | $983.58 | $327.76 – $675.06 | 8 |
| Brachytx isodose intermed CPT 77317 | $540.97 | $983.58 | $241.50 – $675.06 | 8 |
| Brachytx isodose plan simple CPT 77316 | $232.49 | $422.71 | $185.30 – $675.06 | 8 |
| Braf gene CPT 81210 | $284.35 | $517.00 | $156.50 – $315.72 | 8 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Brain flow imaging only CPT 78610 | $981.42 | $1,784.40 | $271.32 – $978.92 | 8 |
| Brain image < 4 views CPT 78600 | not published | not published | $271.87 – $720.75 | 8 |
| Brain image 4+ views CPT 78605 | not published | not published | $287.80 – $978.92 | 8 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $321.32 – $720.75 | 8 |
| Brain image w/flow 4 + views CPT 78606 | $1,061.94 | $1,930.80 | $506.02 – $978.92 | 8 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,399.86 | $2,545.20 | $347.51 – $628.99 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,179.42 | $2,144.40 | $347.51 – $628.99 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $957.66 | $1,741.20 | $237.67 – $430.18 | 8 |
| Brain MRI (with and without contrast) CPT 70553 | $1,552.32 | $2,822.40 | $347.51 – $628.99 | 8 |
| Brain MRI (with contrast) CPT 70552 | $1,366.20 | $2,484.00 | $347.51 – $628.99 | 8 |
| Brain MRI (without contrast) CPT 70551 | $1,180.08 | $2,145.60 | $237.67 – $430.18 | 8 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $421.20 – $842.40 | 8 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $525.81 – $1,051.61 | 8 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $178.34 – $675.45 | 8 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $271.22 – $542.43 | 8 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $254.59 – $509.18 | 8 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $166.61 – $333.22 | 8 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $178.34 – $675.45 | 8 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $254.59 – $509.18 | 8 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $344.58 – $792.00 | 8 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,968.45 | $3,579.00 | $1,642.39 – $3,284.78 | 8 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $2,277.00 – $14,735.85 | 10 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,192.41 | $3,986.20 | $1,645.17 – $2,977.67 | 10 |
| Breast punct aspir cyst, bil CPT 19000 | $422.40 | $768.00 | $705.37 – $2,277.00 | 10 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $2,277.00 – $24,845.76 | 10 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,277.00 – $5,246.00 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Breast reduction CPT 19318 | not published | not published | $2,277.00 – $11,971.60 | 10 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $145.23 – $389.29 | 8 |
| Breathing response hypoxia CPT 94450 | not published | not published | $82.56 – $231.99 | 8 |
| Breath recording infant CPT 94772 | not published | not published | $305.03 – $672.77 | 8 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $93.89 – $169.94 | 8 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.00 – $19.91 | 8 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $263.87 – $502.57 | 8 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $507,298.35 – $918,187.05 | 8 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $389.60 – $2,277.00 | 10 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $1,351.00 – $2,277.00 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | $2,018.94 | $3,670.80 | $2,277.00 – $6,721.86 | 10 |
| Bronch ebus samplng 3/> node CPT 31653 | $2,018.94 | $3,670.80 | $2,277.00 – $6,721.86 | 10 |
| Bronchial allergy tests CPT 95070 | not published | not published | $51.24 – $672.77 | 8 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $389.60 – $2,277.00 | 10 |
| Bronchial challenge CPT 94070 | $912.36 | $1,658.83 | $52.87 – $672.77 | 8 |
| Bronchial valve init insert CPT 31647 | not published | not published | $2,277.00 – $12,723.94 | 10 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,772.97 – $3,208.99 | 10 |
| Bronchial valve remov init CPT 31648 | not published | not published | $2,277.00 – $6,721.86 | 10 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $1,778.00 – $12,723.94 | 10 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,254.00 | $2,280.00 | $1,325.00 – $3,208.99 | 10 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $1,778.00 – $12,723.94 | 10 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $1,351.00 – $2,277.00 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $1,254.00 | $2,280.00 | $1,778.00 – $6,721.86 | 10 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $1,351.00 – $2,277.00 | 3 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $1,778.00 – $12,723.94 | 10 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $1,778.00 – $6,721.86 | 10 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $1,772.97 – $3,208.99 | 10 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,254.00 | $2,280.00 | $1,772.97 – $3,208.99 | 10 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $2,034.00 – $12,723.94 | 10 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $1,778.00 – $6,721.86 | 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.