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 |
|---|---|---|---|---|
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $2,477.93 | $4,505.32 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $18,421.78 | $33,494.15 | $13,080.00 – $14,326.00 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $4,395.27 | $7,991.40 | $13,080.00 – $14,326.00 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $10,491.28 | $19,075.05 | $13,080.00 – $14,326.00 | 2 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $88.58 – $88.58 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $731.49 – $731.49 | 1 |
| Sternal debridement CPT 21627 | $717.75 | $1,305.00 | $2,277.00 – $5,899.11 | 9 |
| St evaluate speech sound production CPT 92522 | $422.13 | $767.51 | $109.07 – $197.41 | 8 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $456.90 | $830.72 | $219.27 – $396.86 | 8 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $270.66 | $492.11 | $88.18 – $159.61 | 8 |
| St evaluation swallow function CPT 92610 | $391.71 | $712.20 | $55.53 – $100.51 | 8 |
| Stimulants synthetic CPT 80371 | $176.00 | $320.00 | $26.69 – $26.69 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $134.24 – $307.16 | 8 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $169.71 – $307.16 | 8 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $134.24 – $307.16 | 8 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $134.24 – $307.16 | 8 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $180.84 | $328.80 | $161.87 – $2,277.00 | 9 |
| Strapping of chest CPT 29200 | not published | not published | $161.87 – $2,277.00 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $300.30 | $546.00 | $58.76 – $2,277.00 | 9 |
| Strapping of hand or finger CPT 29280 | $99.00 | $180.00 | $58.76 – $2,277.00 | 9 |
| Strapping of hip CPT 29520 | $296.34 | $538.80 | $132.53 – $2,277.00 | 9 |
| Strapping of knee CPT 29530 | $300.30 | $546.00 | $132.53 – $2,277.00 | 9 |
| Strapping of toes 29550 CPT 29550 | $127.38 | $231.60 | $58.76 – $2,277.00 | 9 |
| Strep a ag ia CPT 87430 | not published | not published | $15.13 – $30.26 | 8 |
| Strep a dna dir probe CPT 87650 | not published | not published | $18.05 – $36.09 | 8 |
| Strep a dna quant CPT 87652 | not published | not published | $37.58 – $75.17 | 8 |
| Strep b assay w/optic CPT 87802 | not published | not published | $11.46 – $22.91 | 8 |
| Strep b dna amp probe CPT 87653 | not published | not published | $31.58 – $63.16 | 8 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.39 – $22.79 | 8 |
| Stress test pulmonary CPT 94618 | $746.65 | $1,357.54 | $18.97 – $239.87 | 8 |
| Stress tte complete CPT 93351 | not published | not published | $244.38 – $985.13 | 8 |
| Str markers spec anal addl CPT 81266 | not published | not published | $274.33 – $548.66 | 8 |
| Str markers specimen anal CPT 81265 | not published | not published | $209.76 – $419.53 | 8 |
| St treatment speech individual CPT 92507 | $270.60 | $492.00 | $73.76 – $133.51 | 8 |
| St treatment swallow dysfunction/oral CPT 92526 | $348.15 | $633.00 | $81.33 – $147.20 | 8 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $703.13 – $2,277.00 | 10 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $199.85 – $2,277.00 | 9 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $736.19 – $2,277.00 | 9 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $2,277.00 – $7,852.00 | 10 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,034.00 – $6,389.00 | 10 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,034.00 – $6,389.00 | 10 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,034.00 – $6,389.00 | 10 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Sugars multiple quant CPT 84379 | not published | not published | $10.38 – $20.75 | 8 |
| Sugars single quant CPT 84378 | $363.55 | $661.00 | $10.38 – $20.75 | 8 |
| Sulfonylurea screen qn-sendout CPT 80377 | $458.15 | $833.00 | $14.75 – $14.75 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $5.64 – $84.42 | 8 |
| Supply of digital device HCPCS G0552 | not published | not published | $132.62 – $240.03 | 8 |
| Supprelin la implant HCPCS J9226 | not published | not published | $37,285.77 – $67,485.55 | 8 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,778.00 – $5,004.26 | 10 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,778.00 – $6,355.21 | 10 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $3,480.00 – $14,491.00 | 9 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $903.45 – $2,277.00 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,545.54 – $2,797.36 | 10 |
| Surgical pathology level 1 gross examination only CPT 88300 | $62.15 | $113.00 | $16.59 – $52.15 | 8 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $81.95 | $149.00 | $22.20 – $67.34 | 8 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $86.35 | $157.00 | $44.78 – $93.95 | 8 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $250.80 | $456.00 | $44.78 – $93.95 | 8 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $315.70 | $574.00 | $262.13 – $646.24 | 8 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $517.55 | $941.00 | $492.27 – $1,452.56 | 8 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,325.00 – $5,004.26 | 10 |
| Susceptibility agar dilution per agent CPT 87181 | $111.10 | $202.00 | $3.64 – $8.55 | 8 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $11.55 | $21.00 | $3.64 – $8.55 | 8 |
| Susceptibility mic per plate CPT 87186 | $42.90 | $78.00 | $7.79 – $15.57 | 8 |
| Suscept studies macrobroth dilution ea CPT 87188 | $47.30 | $86.00 | $5.98 – $11.95 | 8 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $2,034.00 – $6,355.21 | 10 |
| Suspension of uterus CPT 58410 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Svc venogram s&i CPT 75827 | $1,171.50 | $2,130.00 | $163.36 – $2,838.05 | 8 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $3.97 – $93.95 | 8 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,778.00 – $3,520.58 | 10 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,945.12 – $3,520.58 | 9 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Sympathectomy thoracolumbar CPT 64809 | 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.