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.
12 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Tab 500 MG Inpatient & outpatient | 102 CDM | $1.00 | $0.55 | — | — | |
| Betamethasone Dipropionate Oint 0.05% Inpatient & outpatient | 1029 CDM | $406 | $223 | — | — | |
| Hydrocortisone Enema 100 MG/60ML Inpatient & outpatient | 10210 CDM | $104 | $57.06 | — | — | |
| Hydromorphone HCl Tab 8 MG Inpatient & outpatient | 10226 CDM | $5.89 | $3.24 | — | — | |
| Hydroxychloroquine Sulfate Tab 200 MG Inpatient & outpatient | 10235 CDM | $13.81 | $7.60 | — | — | |
| Hydroxyurea Cap 500 MG Inpatient & outpatient | 10236 CDM | $27.50 | $15.12 | — | — | |
| Ibuprofen Susp 100 MG/5ML Inpatient & outpatient | 10246 CDM | $2.82 | $1.55 | — | — | |
| Ifosfamide For Inj 1 GM Inpatient & outpatient | 10248 CDM | $230 | $126 | — | — | |
| Ifosfamide For Inj 3 GM Inpatient & outpatient | 10249 CDM | $1,278 | $703 | — | — | |
| Indomethacin Sodium IV For Soln 1 MG Inpatient & outpatient | 10267 CDM | $2,095 | $1,152 | — | — | |
| Insulin Regular (Human) Inj 100 Unit/ML Inpatient & outpatient | 10289 CDM | $177 | $97.16 | — | — | |
| Lchg Culture Fungus Other Inpatient & outpatient | 87102 HCPCS | $87.00 | $47.85 | — | — |