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 | — | — | |
| Alprazolam Tab 0.5 MG Inpatient & outpatient | 325 CDM | $4.40 | $2.42 | — | — | |
| Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML Inpatient & outpatient | 37848 CDM | $5.41 | $2.98 | — | — | |
| Hydrocodone-Acetaminophen Tab 10-325 MG Inpatient & outpatient | 28384 CDM | $5.55 | $3.05 | — | — | |
| Hydrocodone-Acetaminophen Tab 5-325 MG Inpatient & outpatient | 34505 CDM | $4.40 | $2.42 | — | — | |
| Hydrocodone-Acetaminophen Tab 7.5-325 MG Inpatient & outpatient | 34544 CDM | $4.40 | $2.42 | — | — | |
| Iopamidol Inj 41% Inpatient & outpatient | 10325 CDM | $256 | $141 | — | — | |
| Lchg Path Consult Comp Review W Report Pc Inpatient & outpatient | 88325 HCPCS | $109 | $59.95 | — | — | |
| Lchg Sperm Antibody Iga Inpatient & outpatient | 89325 HCPCS | $200 | $110 | — | — | |
| Lchg Sperm Antibody Igg Inpatient & outpatient | 89325 HCPCS | $200 | $110 | — | — |