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 |
|---|---|---|---|---|
| Tert gene targeted seq alys CPT 81345 | not published | not published | $166.68 – $333.36 | 8 |
| Test for chlorohydrocarbons CPT 82441 | $207.35 | $377.00 | $5.41 – $10.82 | 8 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.24 – $10.48 | 8 |
| Test for urine cystines CPT 82615 | not published | not published | $8.60 – $17.19 | 8 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $304.29 – $720.75 | 8 |
| Testosterone response panel CPT 80414 | not published | not published | $46.48 – $92.95 | 8 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.04 – $3.87 | 8 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $30.46 – $106.36 | 8 |
| Test stress cardiovascular tracing only CPT 93017 | $825.00 | $1,500.00 | $71.02 – $389.29 | 8 |
| Test urine for lactose CPT 83633 | not published | not published | $10.13 – $20.25 | 8 |
| Test urine for porphyrins CPT 84119 | not published | not published | $12.02 – $24.05 | 8 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.02 – $8.05 | 8 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $591.74 – $1,071.03 | 8 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.82 – $32.26 | 8 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $123.30 – $246.60 | 8 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $683.58 – $1,367.15 | 8 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,627.64 – $5,255.28 | 8 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $538.12 – $1,076.24 | 8 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $134.24 – $307.16 | 8 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $134.24 – $307.16 | 8 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $134.24 – $307.16 | 8 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $44.78 – $93.95 | 8 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $439.46 – $2,277.00 | 10 |
| Theophylline therapeutic drug level CPT 80198 | $151.80 | $276.00 | $12.73 – $25.45 | 8 |
| Therapeutic procd strg endur HCPCS G0237 | $133.32 | $242.40 | $17.69 – $52.15 | 8 |
| Therapy activation ipnss CPT 93150 | not published | not published | $72.84 – $171.40 | 8 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $59.40 | $108.00 | $25.09 – $45.41 | 8 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $114.18 | $207.60 | $20.99 – $38.00 | 8 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $199.85 – $361.72 | 8 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $174.72 – $316.23 | 8 |
| Ther/proph/diag inj ia CPT 96373 | $240.35 | $437.00 | $34.17 – $383.48 | 8 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $289.79 – $289.79 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $195.99 – $195.99 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $129.91 – $129.91 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $235.06 – $235.06 | 1 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,360.82 | $4,292.40 | $624.86 – $2,277.00 | 10 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracic duct procedure CPT 38380 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracic duct procedure CPT 38381 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracic duct procedure CPT 38382 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $2,277.00 – $6,198.00 | 2 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $2,277.00 – $6,120.00 | 2 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $2,277.00 – $6,198.00 | 2 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $2,277.00 – $6,198.00 | 2 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $2,277.00 – $6,198.00 | 2 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $2,277.00 – $19,164.59 | 9 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $2,277.00 – $6,198.00 | 2 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thoracotomy with cardiac massage CPT 32160 | $1,053.36 | $1,915.20 | $2,277.00 – $3,233.00 | 2 |
| Thorax spine fusion CPT 22610 | not published | not published | $7,302.00 – $31,611.83 | 9 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $2,277.00 – $10,899.52 | 10 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $86.69 – $156.90 | 8 |
| Thrombectmy crnry perq mechanical CPT 92973 | $8,255.50 | $15,010.00 | $324.72 – $1,351.00 | 2 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $6,092.35 | $11,077.00 | $5,669.40 – $13,080.00 | 9 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $14,465.94 | $26,301.70 | $11,499.23 – $20,813.09 | 9 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $11,607.20 | $21,104.00 | $13,080.00 – $33,050.22 | 9 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thrombin time CPT 85670 | $101.75 | $185.00 | $5.19 – $10.39 | 8 |
| Thrombin time titer CPT 85675 | not published | not published | $6.17 – $12.33 | 8 |
| Thromboendarterectomy common femoral CPT 35371 | $12,554.63 | $22,826.60 | $2,277.00 – $3,233.00 | 2 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $2,277.00 – $10,032.25 | 9 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thrombomodulin CPT 85337 | not published | not published | $15.54 – $31.09 | 8 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $8.67 – $17.33 | 8 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $177.10 | $322.00 | $5.82 – $11.65 | 8 |
| Thromboxane urine CPT 84431 | not published | not published | $31.60 – $63.20 | 8 |
| Thumb fusion with graft CPT 26820 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Thumb fusion with graft CPT 26842 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Thumb tendon transfer CPT 26510 | not published | not published | $2,034.00 – $5,899.11 | 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.