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 |
|---|---|---|---|---|
| Treat midfoot fracture each CPT 28455 | not published | not published | $1,351.00 – $2,899.06 | 9 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Treat neck spine fracture CPT 22326 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Treat odontoid fx w/graft CPT 22319 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Treat odontoid fx without graft CPT 22318 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Treat pelvic fracture(s) CPT 27215 | not published | not published | $1,922.00 – $2,277.00 | 2 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $2,277.00 – $4,373.00 | 2 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Treat pelvic ring fracture CPT 27218 | not published | not published | $2,277.00 – $2,745.00 | 2 |
| Treat penis lesion graft CPT 54111 | not published | not published | $1,778.00 – $9,666.82 | 10 |
| Treat penis lesion graft CPT 54112 | not published | not published | $1,778.00 – $17,067.14 | 10 |
| Treat radius fracture CPT 24665 | not published | not published | $2,277.00 – $13,082.27 | 10 |
| Treat radius fracture CPT 24666 | not published | not published | $2,277.00 – $23,146.94 | 10 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Treat skull fracture CPT 62000 | not published | not published | $2,277.00 – $5,977.46 | 9 |
| Treat skull fracture CPT 62005 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $2,277.00 – $5,899.11 | 9 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $881.03 – $2,277.00 | 10 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $881.03 – $2,277.00 | 10 |
| Treat spine fracture CPT 22325 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Treat sternum fracture CPT 21820 | not published | not published | $245.71 – $2,277.00 | 10 |
| Treat tail bone fracture CPT 27202 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Treat thigh fracture CPT 27230 | not published | not published | $245.71 – $2,277.00 | 10 |
| Treat thigh fracture CPT 27235 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Treat thigh fracture CPT 27236 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Treat thigh fracture CPT 27238 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Treat thigh fracture CPT 27245 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Treat thigh fracture CPT 27246 | not published | not published | $245.71 – $2,277.00 | 10 |
| Treat thigh fracture CPT 27248 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Treat thigh fracture CPT 27240 | not published | not published | $1,601.73 – $2,899.06 | 9 |
| Treat thigh fracture CPT 27244 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $245.71 – $2,277.00 | 10 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $2,277.00 – $13,082.27 | 9 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Treat thumb fracture CPT 26650 | not published | not published | $1,778.00 – $5,899.11 | 10 |
| Treat thumb fracture CPT 26665 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Treat toe dislocation CPT 28636 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Treat toe dislocation CPT 28665 | $533.94 | $970.80 | $278.60 – $2,277.00 | 10 |
| Treat toe dislocation CPT 28666 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Treat toe fracture CPT 28525 | not published | not published | $2,034.00 – $5,899.11 | 10 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,945.12 – $3,520.58 | 10 |
| Treat ulnar fracture CPT 24675 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Treat ulnar fracture CPT 24685 | not published | not published | $2,034.00 – $13,082.27 | 10 |
| Treat vaginal bleeding CPT 57180 | $512.16 | $931.20 | $201.38 – $2,277.00 | 10 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $1,325.00 – $2,899.06 | 10 |
| Treat wrist dislocation CPT 25675 | $644.82 | $1,172.40 | $245.71 – $2,277.00 | 10 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $146.09 – $264.41 | 8 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $10.96 – $21.92 | 8 |
| Treponema pallidum antibody CPT 86780 | $82.50 | $150.00 | $11.92 – $23.83 | 8 |
| Treprostinil injection HCPCS J3285 | not published | not published | $54.44 – $98.53 | 8 |
| Trg gene rearrangement anal CPT 81342 | $273.35 | $497.00 | $181.35 – $362.70 | 8 |
| Trh stimulation panel CPT 80439 | not published | not published | $60.49 – $120.98 | 8 |
| Trichinella antibody CPT 86784 | not published | not published | $11.30 – $22.61 | 8 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $13.76 – $27.52 | 8 |
| #tricyclicantidprssnt CPT 80337 | $150.70 | $274.00 | $19.65 – $19.65 | 1 |
| Triglycerides CPT 84478 | $42.35 | $77.00 | $5.17 – $10.33 | 8 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.43 – $9.83 | 8 |
| Trim nail(s) HCPCS G0127 | not published | not published | $13.84 – $106.36 | 8 |
| Trim nondyst nails CPT 11719 | $244.20 | $444.00 | $58.76 – $2,277.00 | 9 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $463.80 – $839.46 | 8 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $2,277.00 – $7,452.17 | 10 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $2,277.00 – $9,593.81 | 10 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $2,277.00 – $23,146.94 | 9 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $245.71 – $2,277.00 | 10 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $3,233.00 – $13,080.00 | 2 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $13,080.00 – $14,326.00 | 2 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $4,835.22 | $8,791.30 | $2,277.00 – $6,120.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $4,835.22 | $8,791.30 | $2,277.00 – $6,120.00 | 2 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $10,853.37 | $19,733.40 | $11,499.23 – $20,813.09 | 9 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,778.20 | $6,869.45 | $2,277.00 – $5,692.64 | 10 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,219.52 | $2,217.30 | $2,514.00 – $13,080.00 | 10 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,714.91 | $4,936.20 | $3,145.18 – $13,080.00 | 10 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,823.59 | $5,133.80 | $3,145.18 – $13,080.00 | 10 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,265.50 | $2,300.90 | $2,514.00 – $13,080.00 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $1,158.30 | $2,106.00 | $2,277.00 – $6,389.00 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $296.45 | $539.00 | $1,351.00 – $2,277.00 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $876.15 | $1,593.00 | $2,034.00 – $3,719.90 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $1,080.20 | $1,964.00 | $2,034.00 – $3,719.90 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $2,034.00 – $3,719.90 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $856.90 | $1,558.00 | $2,034.00 – $3,719.90 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $656.15 | $1,193.00 | $1,778.00 – $3,719.90 | 10 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $576.66 – $1,153.31 | 8 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2,916.00 – $5,832.00 | 8 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Troponin quantitative CPT 84484 | $103.40 | $188.00 | $11.22 – $22.45 | 8 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $547.86 – $2,277.00 | 9 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $2,277.00 – $6,355.21 | 10 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $780.87 – $1,413.34 | 8 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,869.47 | $3,399.03 | $780.87 – $1,413.34 | 8 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $780.87 – $1,413.34 | 8 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $780.87 – $1,413.34 | 8 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $2,034.00 – $10,899.52 | 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.