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 |
|---|---|---|---|---|
| Small animal inoculation CPT 87003 | not published | not published | $15.16 – $30.31 | 8 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy CPT 44382 | not published | not published | $903.45 – $2,277.00 | 10 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,778.00 – $3,459.61 | 10 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $903.45 – $2,277.00 | 10 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,911.43 – $3,459.61 | 10 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $2,277.00 – $10,945.26 | 10 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $40.15 | $73.00 | $4.85 – $9.70 | 8 |
| Smear gram stain CPT 87205 | $55.55 | $101.00 | $3.84 – $7.69 | 8 |
| Smear nasal eosinophil CPT 89190 | $52.25 | $95.00 | $5.21 – $10.42 | 8 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $96.25 | $175.00 | $5.39 – $10.78 | 8 |
| Smear wet mount CPT 87210 | $83.05 | $151.00 | $5.24 – $10.48 | 8 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $271.22 – $542.43 | 8 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $166.68 – $333.36 | 8 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $42.30 – $84.60 | 8 |
| Snrpn/ube3a gene CPT 81331 | $135.85 | $247.00 | $45.96 – $91.93 | 8 |
| Sodium 24 hour urine CPT 84300 | $37.95 | $69.00 | $4.55 – $9.11 | 8 |
| Sodium serum/plasma/whole blood CPT 84295 | $23.65 | $43.00 | $4.33 – $8.66 | 8 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $86.69 – $156.90 | 8 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,210.78 – $2,421.56 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,076.25 – $2,152.49 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,959.66 – $5,919.32 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $941.72 – $1,883.43 | 8 |
| Somatosensory testing CPT 95927 | not published | not published | $215.08 – $389.29 | 8 |
| Somatropin injection HCPCS J2941 | not published | not published | $51.86 – $51.86 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,690.60 – $5,381.19 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $807.18 – $1,614.37 | 8 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $24.15 – $24.15 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $7,302.00 – $10,305.00 | 2 |
| Special physics consult CPT 77370 | $372.66 | $677.56 | $133.89 – $242.33 | 8 |
| Special pump services CPT 99190 | not published | not published | $906.32 – $906.32 | 1 |
| Special pump services CPT 99191 | not published | not published | $634.39 – $634.39 | 1 |
| Special pump services CPT 99192 | not published | not published | $453.21 – $453.21 | 1 |
| Special radiation dosimetry CPT 77331 | $329.31 | $598.75 | $30.89 – $242.33 | 8 |
| Special radiation treatment CPT 77470 | $1,595.89 | $2,901.62 | $77.61 – $996.18 | 8 |
| Special teletx port plan CPT 77321 | $709.29 | $1,289.61 | $71.02 – $675.06 | 8 |
| Specific gravity body fluid CPT 84315 | $40.15 | $73.00 | $2.95 – $5.90 | 8 |
| Specimen fat stain CPT 89125 | $40.70 | $74.00 | $5.29 – $10.58 | 8 |
| Speech audiometry complete CPT 92556 | not published | not published | $58.76 – $106.36 | 8 |
| Speech evaluation complex CPT 70371 | not published | not published | $85.31 – $430.18 | 8 |
| Speech recep thresh CPT 92555 | not published | not published | $39.70 – $106.36 | 8 |
| Sperm antibody test CPT 89325 | $110.00 | $200.00 | $9.60 – $19.21 | 8 |
| Sperm evaluation test CPT 89329 | not published | not published | $17.63 – $35.26 | 8 |
| Sperm identification CPT 89257 | not published | not published | $44.78 – $93.95 | 8 |
| Sperm isolation complex CPT 89261 | not published | not published | $44.78 – $93.95 | 8 |
| Sperm isolation simple CPT 89260 | not published | not published | $44.78 – $93.95 | 8 |
| Sperm washing 58323 CPT 58323 | not published | not published | $201.38 – $2,277.00 | 10 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,034.00 – $5,004.26 | 10 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $7,302.00 – $10,305.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $7,302.00 – $10,305.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,166.78 | $3,939.60 | $703.13 – $2,277.00 | 10 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $5,340.00 – $23,146.94 | 9 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $215.08 – $389.29 | 8 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $588.03 | $1,069.15 | $83.11 – $672.77 | 8 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $128.17 – $231.99 | 8 |
| Spleen imaging CPT 78185 | not published | not published | $322.42 – $720.75 | 8 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $3.85 – $3.85 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $924.55 | $1,681.00 | $1,778.00 – $6,389.00 | 10 |
| Split blood or products CPT 86985 | $185.90 | $338.00 | $28.59 – $307.16 | 8 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $28.49 – $28.49 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $329.02 – $2,277.00 | 9 |
| Sputum specimen collection CPT 89220 | $64.90 | $118.00 | $28.68 – $307.16 | 8 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,123.53 – $7,463.40 | 8 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $157.86 – $315.72 | 8 |
| Srs linear based CPT 77372 | $7,703.07 | $14,005.58 | $1,268.61 – $13,278.93 | 8 |
| Srs multisource CPT 77371 | not published | not published | $2,198.39 – $13,278.93 | 8 |
| Srs spinal lesion CPT 63620 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $89.15 – $231.99 | 8 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $266.94 | $485.34 | $106.23 – $192.28 | 8 |
| Staph a dna amp probe CPT 87640 | not published | not published | $31.58 – $63.16 | 8 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $99.56 – $180.20 | 8 |
| Stem cells total count CPT 86367 | not published | not published | $47.84 – $140.00 | 8 |
| Stenger test pure tone CPT 92565 | not published | not published | $28.68 – $106.36 | 8 |
| Stenger test speech CPT 92577 | not published | not published | $31.44 – $672.77 | 8 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $13,415.71 | $24,392.20 | $13,080.00 – $14,326.00 | 2 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $6,489.56 | $11,799.20 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $151.90 | $276.18 | not published | 0 |
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.