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 |
|---|---|---|---|---|
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $2,277.00 – $10,672.90 | 9 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Thyroglobulin antibody CPT 86800 | $52.80 | $96.00 | $14.32 – $28.64 | 8 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Thyroid imaging CPT 78013 | $344.52 | $626.40 | $242.62 – $720.75 | 8 |
| Thyroid met imaging CPT 78015 | not published | not published | $309.78 – $720.75 | 8 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $398.21 – $720.75 | 8 |
| Thyroid mets imag whole body CPT 78018 | $1,499.52 | $2,726.40 | $456.55 – $978.92 | 8 |
| Thyroid met uptake CPT 78020 | not published | not published | $93.55 – $93.55 | 1 |
| Thyroid (TSH) Test CPT 84443 | $69.85 | $127.00 | $15.12 – $30.24 | 8 |
| Thyroid Ultrasound CPT 76536 | $567.46 | $1,031.74 | $104.14 – $188.49 | 8 |
| Thyroid uptake measurement CPT 78012 | $463.98 | $843.60 | $119.39 – $720.75 | 8 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,146.79 – $3,885.59 | 8 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $45.37 – $90.74 | 8 |
| Thyroxine binding globulin (tbg) CPT 84442 | $107.80 | $196.00 | $13.30 – $26.60 | 8 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $21,671.73 | $39,403.15 | $13,080.00 – $14,326.00 | 2 |
| Tib/per revasc stnt & ather CPT 37235 | $8,098.75 | $14,725.00 | $13,080.00 – $14,326.00 | 2 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $8,098.75 | $14,725.00 | $13,080.00 – $14,326.00 | 2 |
| Tilt table study CPT 93660 | not published | not published | $104.54 – $672.77 | 8 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $599,561.27 – $1,101,047.71 | 8 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $192.78 – $353.02 | 9 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $29.35 – $29.35 | 1 |
| Tissue culture placenta CPT 88235 | $495.55 | $901.00 | $135.27 – $270.54 | 8 |
| Tissue culture skin/biopsy CPT 88233 | $1,400.30 | $2,546.00 | $126.66 – $253.31 | 8 |
| Tissue culture tumor CPT 88239 | not published | not published | $132.77 – $265.54 | 8 |
| Tissue exam koh skin/hair/nails CPT 87220 | $32.45 | $59.00 | $3.84 – $7.69 | 8 |
| Tissue transglutaminase iga CPT 86364 | $85.25 | $155.00 | $10.38 – $20.75 | 8 |
| Tixagev and cilgav inj HCPCS M0220 | $207.90 | $378.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | $45.98 | $83.60 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $2,277.00 – $19,164.59 | 10 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Tobramycin peak therapeutic drug level CPT 80200 | $123.20 | $224.00 | $14.52 – $29.03 | 8 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.38 – $9.73 | 8 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $8.02 – $8.02 | 1 |
| Toe joint transfer CPT 26556 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $10.88 – $19.69 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $84.61 | $153.84 | $22.14 – $40.07 | 8 |
| Tone decay hearing test CPT 92563 | not published | not published | $37.21 – $67.34 | 8 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,277.00 – $3,480.00 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tongue suspension CPT 41512 | not published | not published | $2,034.00 – $10,672.90 | 10 |
| Tongue to lip surgery CPT 41510 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $40.67 – $73.61 | 8 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Total hip arthroplasty CPT 27132 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Total Hip Replacement CPT 27130 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Total hysterectomy CPT 58150 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Total lung lavage CPT 32997 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,277.00 – $2,277.00 | 1 |
| Total tau CPT 84394 | $137.50 | $250.00 | $128.21 – $232.06 | 8 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,277.00 – $31,611.83 | 9 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $2,277.00 – $31,611.83 | 9 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $2,277.00 – $10,305.00 | 2 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tot estradiol response panel CPT 80415 | not published | not published | $50.30 – $100.60 | 8 |
| Toxoplasma antibody igg CPT 86777 | $94.05 | $171.00 | $12.95 – $25.90 | 8 |
| Toxoplasma antibody igm CPT 86778 | $99.55 | $181.00 | $12.97 – $25.94 | 8 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $577.67 – $1,155.33 | 8 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $277.20 – $554.40 | 8 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $296.56 – $593.12 | 8 |
| Tpmt gene com vrnts CPT 81335 | $458.70 | $834.00 | $157.33 – $314.66 | 8 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $248.88 – $2,277.00 | 10 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $2,277.00 – $23,786.56 | 9 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $2,277.00 – $6,355.21 | 9 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $2,277.00 – $17,067.14 | 9 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $2,277.00 – $9,666.82 | 10 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $384.52 – $738.86 | 8 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $547.86 – $2,277.00 | 10 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $2,034.00 – $9,018.95 | 10 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $537.23 – $2,277.00 | 10 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $1,778.00 – $5,977.46 | 10 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $20.79 – $37.62 | 8 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $104.50 | $190.00 | $54.31 – $98.30 | 8 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $303.54 – $2,277.00 | 10 |
| Transab esoph hiat hern repair 43332 CPT 43332 | 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.