SSM Health St. Mary's Hospital - Jefferson City — X-ray 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.
5 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Hand 3+ Vw Inpatient & outpatient | 73130 HCPCS | $450 | $248 | — | — | |
| Lumbar Spine 4+ Vw Inpatient & outpatient | 72110 HCPCS | $829 | $456 | — | — | |
| Shoulder 2+ Vw Inpatient & outpatient | 73030 HCPCS | $468 | $257 | — | — | |
| Xray Chest 1 View Inpatient & outpatient | 71045 HCPCS | $479 | $264 | — | — | |
| Xray Chest 2 Views Inpatient & outpatient | 71046 HCPCS | $507 | $279 | — | — |