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 |
|---|---|---|---|---|
| Sf3b1 gene common variants CPT 81347 | not published | not published | $173.93 – $347.85 | 8 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $199.85 – $2,277.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $199.85 – $2,277.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $404.93 – $2,277.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $404.93 – $2,277.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $146.52 | $266.40 | $199.85 – $2,277.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $228.36 | $415.20 | $199.85 – $2,277.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $199.85 – $2,277.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $399.30 | $726.00 | $404.93 – $2,277.00 | 9 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $103.75 | $188.64 | $404.93 – $2,277.00 | 9 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $199.85 – $2,277.00 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $199.85 – $2,277.00 | 9 |
| Shigella antibody CPT 86771 | not published | not published | $22.03 – $44.06 | 8 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,325.00 – $5,899.11 | 10 |
| Shortening of thigh bone CPT 27465 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Shorten radius & ulna CPT 25392 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,552.32 | $2,822.40 | $347.51 – $628.99 | 8 |
| Shoulder MRI (with contrast) CPT 73222 | $1,366.20 | $2,484.00 | $588.24 – $1,413.34 | 8 |
| Shoulder MRI (without contrast) CPT 73221 | $1,180.08 | $2,145.60 | $237.67 – $430.18 | 8 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Shoulder X-ray CPT 73030 | $257.40 | $468.00 | $35.84 – $156.90 | 8 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $104.14 – $188.49 | 8 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $11.00 – $22.00 | 8 |
| Sialography s&i CPT 70390 | $842.82 | $1,532.40 | $138.62 – $430.18 | 8 |
| Sialolithotomy 42330 CPT 42330 | $8,339.76 | $15,163.20 | $2,277.00 – $5,977.46 | 9 |
| Sickling rbc CPT 85660 | $52.80 | $96.00 | $4.96 – $9.92 | 8 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $926.34 – $2,277.00 | 10 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $926.34 – $2,277.00 | 10 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $926.34 – $2,277.00 | 10 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,191.98 – $2,514.00 | 10 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $2,277.00 – $10,945.26 | 10 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,277.00 – $5,004.26 | 10 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $926.34 – $2,277.00 | 10 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $926.34 – $2,277.00 | 10 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $30.34 – $106.36 | 8 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,191.98 – $2,277.00 | 10 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,499.23 – $20,813.09 | 8 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $248.88 – $2,277.00 | 10 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $38.59 – $188.49 | 8 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,191.96 | $2,167.20 | $174.72 – $316.23 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $968.88 | $1,761.60 | $174.72 – $316.23 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $819.72 | $1,490.40 | $104.14 – $188.49 | 8 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $165.56 – $5,692.64 | 8 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,778.00 – $10,672.90 | 10 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,624.80 – $100,678.37 | 8 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $90.53 – $163.85 | 9 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $179.85 | $327.00 | $25.34 – $25.34 | 1 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $22.38 – $22.38 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,277.00 – $6,389.00 | 10 |
| Skin Biopsy CPT 11102 | $551.10 | $1,002.00 | $404.93 – $2,277.00 | 9 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $889.35 | $1,617.00 | $2,034.00 – $3,719.90 | 10 |
| Skin full graft add-on 15241 CPT 15241 | $147.95 | $269.00 | $1,351.00 – $2,277.00 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $2,034.00 – $6,389.00 | 10 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $150.70 | $274.00 | $1,351.00 – $2,277.00 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $9.45 – $52.15 | 8 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $157.33 – $314.66 | 8 |
| Sleep study attended CPT 95807 | $685.85 | $1,247.00 | $371.70 – $672.77 | 8 |
| Sleep Study (Polysomnography) CPT 95810 | $1,925.00 | $3,500.00 | $851.00 – $1,548.23 | 8 |
| Sleep study unattended CPT 95806 | $825.00 | $1,500.00 | $198.21 – $389.29 | 8 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $1,112.44 | $2,022.62 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Slitting of prepuce CPT 54001 | $2,599.08 | $4,725.60 | $1,778.00 – $3,768.77 | 10 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $58.26 – $58.26 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $158.00 – $158.00 | 1 |
| Slp pure tone screening CPT 92551 | $131.53 | $239.15 | $20.45 – $20.45 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $58.76 – $106.36 | 8 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $126.38 – $126.38 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | $16,943.63 | $30,806.60 | $3,142.42 – $5,687.64 | 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.