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.
10 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Tab 325 MG Inpatient & outpatient | 101 CDM | $1.00 | $0.55 | — | — | |
| Diltiazem HCl Cap ER 12HR 90 MG Inpatient & outpatient | 14101 CDM | $11.96 | $6.58 | — | — | |
| Ganciclovir Sodium For Inj 500 MG Inpatient & outpatient | 10101 CDM | $285 | $157 | — | — | |
| Glipizide Tab 5 MG Inpatient & outpatient | 10117 CDM | $3.30 | $1.82 | — | — | |
| Guanfacine HCl Tab 1 MG Inpatient & outpatient | 10149 CDM | $3.35 | $1.84 | — | — | |
| Haloperidol Decanoate IM Soln 100 MG/ML Inpatient & outpatient | 10162 CDM | $30.03 | $16.52 | — | — | |
| Haloperidol Decanoate IM Soln 50 MG/ML Inpatient & outpatient | 10163 CDM | $87.12 | $47.92 | — | — | |
| Heparin Sodium (Porcine) Inj 1000 Unit/ML Inpatient & outpatient | 10176 CDM | $16.50 | $9.08 | — | — | |
| Heparin Sodium (Porcine) Inj 5000 Unit/ML Inpatient & outpatient | 10181 CDM | $16.50 | $9.08 | — | — | |
| Lchg Culture Fungus Skin Hair Nails Inpatient & outpatient | 87101 HCPCS | $116 | $63.80 | — | — |