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.
9 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetazolamide Tab 125 MG Inpatient & outpatient | 112 CDM | $7.19 | $3.95 | — | — | |
| Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML) Inpatient & outpatient | 112839 CDM | $16.50 | $9.08 | — | — | |
| Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML) Inpatient & outpatient | 112838 CDM | $16.50 | $9.08 | — | — | |
| Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr Inpatient & outpatient | 145112 CDM | $1,303 | $716 | — | — | |
| Insulin Regular (Human) Soln Pen-Injector 500 Unit/ML Inpatient & outpatient | 151112 CDM | $1,137 | $625 | — | — | |
| Lacosamide IV Inj 200 MG/20ML (10 MG/ML) Inpatient & outpatient | 112243 CDM | $77.83 | $42.81 | — | — | |
| Lacosamide Tab 50 MG Inpatient & outpatient | 112239 CDM | $37.51 | $20.63 | — | — | |
| Lchg Cytopath Cell Enhance Tech W Interp Inpatient & outpatient | 88112 HCPCS | $475 | $261 | — | — | |
| Lchg Cytopath Cell Enhance Tech W Intrp Tc Ap Ltl Inpatient & outpatient | 88112 HCPCS | $475 | $261 | — | — |