SSM Health St. Mary's Hospital - Jefferson City — CT scan prices
← 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.
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.
7 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CT Abdomen Pelvis W Contrast Inpatient & outpatient | 74177 HCPCS | $3,850 | $2,117 | — | — | |
| CT Abdomen Pelvis without Contrast Inpatient & outpatient | 74176 HCPCS | $3,406 | $1,873 | — | — | |
| CT Abdomen Pelvis Wwo Contrast Inpatient & outpatient | 74178 HCPCS | $4,295 | $2,362 | — | — | |
| CT Chest Non Contrast Inpatient & outpatient | 71250 HCPCS | $1,628 | $896 | — | — | |
| CT Chest With Contrast Inpatient & outpatient | 71260 HCPCS | $1,925 | $1,059 | — | — | |
| CT Head Non Contrast Inpatient & outpatient | 70450 HCPCS | $1,490 | $820 | — | — | |
| CT Head With Contrast Inpatient & outpatient | 70460 HCPCS | $1,897 | $1,043 | — | — |