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.
4 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetazolamide Tab 250 MG Inpatient & outpatient | 113 CDM | $3.30 | $1.82 | — | — | |
| Cholecalciferol Oral Liquid 10 MCG/ML (400 Unit/ML) Inpatient & outpatient | 113202 CDM | $3.30 | $1.82 | — | — | |
| Ciprofloxacin HCl Otic Soln 0.2% (Base Equivalent) Inpatient & outpatient | 113221 CDM | $40.13 | $22.07 | — | — | |
| Dronedarone HCl Tab 400 MG (Base Equivalent) Inpatient & outpatient | 113876 CDM | $53.46 | $29.40 | — | — |