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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Suppos 650 MG Inpatient & outpatient | 105 CDM | $3.30 | $1.82 | — | — | |
| Gadoterate meglumine IV soln 10 mmol/20ml (0.5 mmol/ml) Inpatient & outpatient | 141050 CDM | $398 | $219 | — | — | |
| Gadoterate meglumine IV soln prefilled syringe 10 mmol/20ml Inpatient & outpatient | 141053 CDM | $430 | $237 | — | — | |
| Gadoterate meglumine IV soln prefilled syringe 7.5 mmol/15ml Inpatient & outpatient | 141052 CDM | $178 | $98.01 | — | — | |
| Lchg Alpha Fetoprotein Blood Tumor Inpatient & outpatient | 82105 HCPCS | $237 | $130 | — | — | |
| Lchg Phosphorus Urine Random Inpatient & outpatient | 84105 HCPCS | $109 | $59.95 | — | — | |
| Lchg Phosphorus Urine Timed Inpatient & outpatient | 84105 HCPCS | $111 | $61.05 | — | — |