Ssm Health St. Mary's Hospital - Jefferson City

2505 Mission Drive, Jefferson City, MO 65109 · (573) 681-3000

Acute Care HospitalsProprietaryCMS rating 3/5Jefferson City, MO metro Website ↗

Price file

Prices published

File dated 2026-04-01

1,330 price rows for 66 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $68

$68

cash

$8 to $52

22 negotiated rates

$123

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,117

$2,117

cash

$348 to $998

22 negotiated rates

$3,850

list

CT scan of the head, no contrast

CPT 70450 · metro median $820

$820

cash

$104 to $483

22 negotiated rates

$1,490

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $882

$882

cash

$175 to $845

22 negotiated rates

$1,604

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,277 to $4,161

11 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,277 to $2,277

1 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,512 to $15,249

21 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines · metro median $42

$42

cash

$32 to $216

22 negotiated rates

$77

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$926 to $2,745

11 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,192 to $2,745

11 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,192 to $2,745

11 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $39

$39

cash

$7 to $48

22 negotiated rates

$71

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $83

$83

cash

$10 to $65

22 negotiated rates

$150

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $330

$330

cash

$198 to $466

14 negotiated rates

$600

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$32 to $74

13 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $160

$160

cash

—

$290

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $90

$90

cash

$171 to $404

21 negotiated rates

$163

list

Family psychotherapy without the patient

CPT 90846 · metro median $276

$276

cash

$145 to $342

21 negotiated rates

$502

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$5,257 to $10,900

11 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 3 lines · metro median $64

$64

cash

$32 to $216

22 negotiated rates

$116

list

Group psychotherapy

CPT 90853 · lowest of 9 lines · metro median $150

$150

cash

$46 to $183

21 negotiated rates

$272

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$15,521 to $28,093

21 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,477 to $12,877

21 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,950 to $18,981

21 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$2,277 to $6,455

11 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$2,277 to $7,888

11 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$548 to $2,277

11 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$1,050 to $10,988

23 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $68

$68

cash

$12 to $82

22 negotiated rates

$123

list

Liver function panel

CPT 80076 · metro median $45

$45

cash

$7 to $50

22 negotiated rates

$82

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,552

$1,552

cash

$348 to $1,745

22 negotiated rates

$2,822

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,180

$1,180

cash

$238 to $821

22 negotiated rates

$2,146

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $932

$932

cash

$238 to $1,181

22 negotiated rates

$1,694

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,400

$1,400

cash

$238 to $1,180

22 negotiated rates

$2,545

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$19,269 to $34,876

21 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $2,515

$2,515

cash

$881 to $2,277

11 negotiated rates

$4,573

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $145

$145

cash

—

$264

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $160

$160

cash

—

$290

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $174

$174

cash

—

$316

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $78

$78

cash

$17 to $113

22 negotiated rates

$142

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $25

$25

cash

$5 to $37

22 negotiated rates

$46

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $75

$75

cash

$27 to $132

21 negotiated rates

$137

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $605

$605

cash

$104 to $379

22 negotiated rates

$1,100

list

Prostate biopsy

CPT 55700 · metro median $1,410

$1,410

cash

$1,778 to $2,745

3 negotiated rates

$2,564

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$6,198 to $19,165

10 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $13

$13

cash

$4 to $24

22 negotiated rates

$24

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $118

$118

cash

$92 to $320

21 negotiated rates

$215

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $79

$79

cash

$138 to $325

21 negotiated rates

$144

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $118

$118

cash

$177 to $490

21 negotiated rates

$215

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $3,913

$3,913

cash

$2,034 to $7,059

11 negotiated rates

$7,114

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 3 lines · metro median $85

$85

cash

$163 to $385

14 negotiated rates

$155

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$2,034 to $7,888

3 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $1,925

$1,925

cash

$851 to $2,007

21 negotiated rates

$3,500

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,288

$1,288

cash

$881 to $2,277

11 negotiated rates

$2,342

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,426

$1,426

cash

$703 to $2,277

11 negotiated rates

$2,592

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $36

$36

cash

$15 to $103

22 negotiated rates

$65

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$2,034 to $10,673

11 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $541

$541

cash

$69 to $245

22 negotiated rates

$984

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $712

$712

cash

$104 to $379

22 negotiated rates

$1,294

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$903 to $2,745

11 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$903 to $2,745

11 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $39

$39

cash

$3 to $19

22 negotiated rates

$71

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,277 to $2,277

1 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$5,289 to $11,481

21 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,277 to $2,277

1 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $456

$456

cash

$56 to $245

22 negotiated rates

$829

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://hospitalpricedisclosure.com/download.aspx?pi=u3eEjNYEVJu53n9qmm*_**__*Hw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
SSM Health St. Mary's Hospital - Jefferson City · parsed · json v3.0.0 · file dated 2026-04-01 · 39.5 MB · 1330 price rows read · read Nov 2026
https://hospitalpricedisclosure.com/download.aspx?pi=Cwl2CJAwPiTJ13gcmmCzdA*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
SSM Health Good Samaritan Hospital - Mt. Vernon · unmatched · json v3.0.0 · file dated 2026-04-01 · 14.1 MB · read Oct 2026
https://hospitalpricedisclosure.com/download.aspx?pi=cCiJ3uXo623a69s9G*__*VgNw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
SSM Health Ripon Community Hospital · unmatched · json v3.0.0 · file dated 2026-04-01 · 29.4 MB · read Oct 2026
https://hospitalpricedisclosure.com/download.aspx?pi=qrjjGipjrFx4NGWFLmvnSg*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
SSM Health Waupun Memorial Hospital · unmatched · json v3.0.0 · file dated 2026-04-01 · 30.1 MB · read Oct 2026
https://hospitalpricedisclosure.com/download.aspx?pi=oExWW6GEphI226iT5wl0wQ*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
SSM Health Cardinal Glennon Children's Hospital · discovered
https://hospitalpricedisclosure.com/download.aspx?pi=O5oUAG4tejFgDnF2IIIqVQ*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
SSM Health St. Joseph Hospital - Lake Saint Louis · discovered
https://hospitalpricedisclosure.com/download.aspx?pi=uwouo8M1Pxif8Aqw5LntXw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
SSM Health Monroe Hospital · discovered