SSM Health St. Mary's Hospital - Jefferson City — price list
← Hospital overviewVerified from SSM Health St. Mary's Hospital - Jefferson City’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Abacavir Sulfate Tab 300 MG (Base Equiv) Inpatient & outpatient | 24438 CDM | $33.13 | $18.22 | — | — | |
| Acamprosate Calcium Tab Delayed Release 333 MG Inpatient & outpatient | 39720 CDM | $5.80 | $3.19 | — | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient & outpatient | 123869 CDM | $147 | $80.59 | — | — | |
| Acetaminophen Soln 160 MG/5ML Inpatient & outpatient | 100 CDM | $3.65 | $2.01 | — | — | |
| Acetaminophen Suppos 120 MG Inpatient & outpatient | 103 CDM | $3.30 | $1.82 | — | — | |
| Acetaminophen Suppos 650 MG Inpatient & outpatient | 105 CDM | $3.30 | $1.82 | — | — | |
| Acetaminophen Tab 325 MG Inpatient & outpatient | 101 CDM | $1.00 | $0.55 | — | — | |
| Acetaminophen Tab 500 MG Inpatient & outpatient | 102 CDM | $1.00 | $0.55 | — | — | |
| Acetazolamide Sodium For Inj 500 MG Inpatient & outpatient | 114 CDM | $174 | $95.74 | — | — | |
| Acetazolamide Tab 125 MG Inpatient & outpatient | 112 CDM | $7.19 | $3.95 | — | — | |
| Acetazolamide Tab 250 MG Inpatient & outpatient | 113 CDM | $3.30 | $1.82 | — | — | |
| Acetic Acid Otic Soln 2% Inpatient & outpatient | 17801 CDM | $132 | $72.61 | — | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Inpatient & outpatient | 150533 CDM | $517 | $284 | — | — | |
| Acetylcysteine Inhal Soln 10% Inpatient & outpatient | 122 CDM | $28.83 | $15.86 | — | — | |
| Acetylcysteine Inhal Soln 20% Inpatient & outpatient | 123 CDM | $5.87 | $3.23 | — | — | |
| Acetylcysteine Inj 200 MG/ML Inpatient & outpatient | 38303 CDM | $436 | $240 | — | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Inpatient & outpatient | 23128 CDM | $52.80 | $29.04 | — | — | |
| Adenosine IV Soln 3 MG/ML (Diagnostic) Inpatient & outpatient | 15330 CDM | $659 | $362 | — | — | |
| Adenosine IV Soln 6 MG/2ML Inpatient & outpatient | 38703 CDM | $62.96 | $34.63 | — | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Inpatient & outpatient | 17837 CDM | $89.97 | $49.48 | — | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Inpatient & outpatient | 250 CDM | $4.40 | $2.42 | — | — | |
| Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) Inpatient & outpatient | 251 CDM | $3.30 | $1.82 | — | — | |
| Alcohol Nasal Swab Kit Inpatient & outpatient | 178590 CDM | $68.47 | $37.66 | — | — | |
| Allopurinol Tab 100 MG Inpatient & outpatient | 310 CDM | $3.30 | $1.82 | — | — | |
| Alprazolam Orally Disintegrating Tab 0.25 MG Inpatient & outpatient | 40589 CDM | $5.01 | $2.76 | — | — | |
| Alprazolam Tab 0.25 MG Inpatient & outpatient | 324 CDM | $4.40 | $2.42 | — | — | |
| Alprazolam Tab 0.5 MG Inpatient & outpatient | 325 CDM | $4.40 | $2.42 | — | — | |
| Alteplase For Inj 2 MG Inpatient & outpatient | 31310 CDM | $733 | $403 | — | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Inpatient & outpatient | 38285 CDM | $6.24 | $3.43 | — | — | |
| Alvimopan Cap 12 MG Inpatient & outpatient | 107642 CDM | $622 | $342 | — | — |