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 |
|---|---|---|---|---|
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $439.46 – $2,277.00 | 10 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $2,277.00 – $13,369.33 | 9 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $2,015.40 – $47,124.10 | 9 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $245.71 – $2,277.00 | 9 |
| Tx closed hip disl traumatic without anes CPT 27250 | $341.88 | $621.60 | $245.71 – $2,277.00 | 10 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $9,694.08 | $17,625.60 | $1,325.00 – $5,899.11 | 10 |
| Tx closed tib shaft fx without manip CPT 27750 | $143.88 | $261.60 | $245.71 – $2,277.00 | 10 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $736.19 – $2,277.00 | 9 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $736.19 – $2,277.00 | 9 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $2,277.00 – $8,722.00 | 2 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $755.49 – $7,666.00 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $7,773.48 | $14,133.60 | $2,277.00 – $5,899.11 | 10 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $718.30 | $1,306.00 | $1,778.00 – $5,899.11 | 10 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $2,277.00 – $5,977.46 | 10 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $2,277.00 – $5,899.11 | 10 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $6,177.60 | $11,232.00 | $2,277.00 – $5,899.11 | 10 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $2,277.00 – $3,233.00 | 2 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $184.80 | $336.00 | $245.71 – $2,277.00 | 9 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,545.54 – $2,797.36 | 9 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,325.00 – $5,977.46 | 10 |
| Tympanometry & reflex thresh CPT 92550 | $414.59 | $753.80 | $37.00 – $389.29 | 8 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $537.23 – $2,277.00 | 10 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $2,277.00 – $10,672.90 | 10 |
| Tyms gene com variants CPT 81346 | $323.40 | $588.00 | $157.33 – $314.66 | 8 |
| U2af1 gene common variants CPT 81357 | not published | not published | $173.93 – $347.85 | 8 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.62 – $7.24 | 8 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $71.84 – $130.03 | 8 |
| Ugt1a1 gene analy common variants CPT 81350 | $276.65 | $503.00 | $210.60 – $421.20 | 8 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $313.65 | $570.28 | $104.14 – $188.49 | 8 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $7.25 – $188.49 | 8 |
| Ultrasound breast complete CPT 76641 | $302.50 | $550.00 | $104.14 – $188.49 | 8 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $258.50 | $470.00 | $86.69 – $156.90 | 8 |
| Ultrasound chest CPT 76604 | $444.15 | $807.54 | $102.34 – $188.49 | 8 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $26.50 – $188.49 | 8 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $68.27 – $188.49 | 8 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $56.10 – $56.10 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $574.04 | $1,043.71 | $104.14 – $188.49 | 8 |
| Ultrasound encephalogram CPT 76506 | $711.71 | $1,294.02 | $104.14 – $188.49 | 8 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $423.80 | $770.54 | $104.14 – $188.49 | 8 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $509.99 | $927.26 | $86.97 – $188.49 | 8 |
| Ultrasound guidance for vascular access CPT 76937 | $566.26 | $1,029.56 | $35.29 – $35.29 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $520.77 | $946.85 | $284.29 – $284.29 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $620.13 | $1,127.51 | $119.52 – $119.52 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $119.52 – $119.52 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $337.00 | $612.73 | $86.69 – $156.90 | 8 |
| Ultrasound infant hips ltd without stress CPT 76886 | $304.68 | $553.96 | $86.69 – $156.90 | 8 |
| Ultrasound joint complete left CPT 76881 | $514.80 | $936.00 | $104.14 – $188.49 | 8 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $468.60 | $852.00 | $18.79 – $188.49 | 8 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $24.22 – $188.49 | 8 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $294.50 | $535.46 | $82.01 – $82.01 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $294.50 | $535.46 | $42.98 – $42.98 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $155.12 – $430.18 | 8 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $484.00 | $880.00 | $104.14 – $188.49 | 8 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $357.50 | $650.00 | $98.51 – $188.49 | 8 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $416.61 | $757.48 | $104.14 – $188.49 | 8 |
| Ultrasound prostate/transrectal CPT 76872 | $541.12 | $983.85 | $65.51 – $188.49 | 8 |
| Ultrasound retroperitoneal limited CPT 76775 | $492.25 | $895.00 | $104.14 – $188.49 | 8 |
| Ultrasound scrotum and contents CPT 76870 | $603.37 | $1,097.04 | $104.14 – $188.49 | 8 |
| Ultrasound spinal canal and contents CPT 76800 | $398.06 | $723.74 | $104.14 – $188.49 | 8 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $104.54 – $104.54 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $541.20 | $984.00 | $68.82 – $188.49 | 8 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $347.51 – $628.99 | 8 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $296.40 – $296.40 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.05 – $14.56 | 8 |
| Umbilical artery cath newborn 36660 CPT 36660 | $146.30 | $266.00 | $2,277.00 – $3,233.00 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $303.54 – $2,277.00 | 10 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,351.00 – $2,277.00 | 2 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $14,615.70 – $26,453.75 | 8 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $28.81 – $52.15 | 8 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $28.81 – $52.15 | 8 |
| Unlisted chemotherapy px CPT 96549 | $67.98 | $123.60 | $0.59 – $84.42 | 8 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $392.92 | $714.40 | $235.93 – $2,277.00 | 9 |
| Unlisted CT procedure CPT 76497 | not published | not published | $86.69 – $156.90 | 8 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $398.21 – $720.75 | 8 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $44.78 – $93.95 | 8 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $44.78 – $93.95 | 8 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $128.17 – $231.99 | 8 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $398.21 – $720.75 | 8 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $201.38 – $2,277.00 | 9 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $86.69 – $156.90 | 8 |
| Unlisted gi px dx nuc med CPT 78299 | $596.64 | $1,084.80 | $398.21 – $720.75 | 8 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $398.21 – $720.75 | 8 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $201.38 – $2,277.00 | 9 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,246.00 – $10,899.52 | 9 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,246.00 – $10,899.52 | 9 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,246.00 – $10,899.52 | 9 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laps px renal CPT 50549 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $2,277.00 – $10,899.52 | 9 |
| Unlisted laps px testis CPT 54699 | not published | not published | $2,277.00 – $10,899.52 | 9 |
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.