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) | |
|---|---|---|---|---|---|---|
| Aminocaproic Acid Inj 250 MG/ML Inpatient & outpatient | 403 CDM | $23.07 | $12.69 | — | — | |
| Bortezomib For Inj 3.5 MG Inpatient & outpatient | 140395 CDM | $6,348 | $3,491 | — | — | |
| Dexmedetomidine HCl IV Soln 200 MCG/2ML Inpatient & outpatient | 140374 CDM | $21.38 | $11.76 | — | — | |
| Heparin Sodium (Porcine) Inj 10000 Unit/ML Inpatient & outpatient | 140312 CDM | $16.50 | $9.08 | — | — | |
| Isoproterenol HCl Inj 0.2 MG/ML Inpatient & outpatient | 4034 CDM | $47.52 | $26.14 | — | — | |
| Lchg Cryptococcus Antigen Blood Inpatient & outpatient | 86403 HCPCS | $243 | $134 | — | — | |
| Lchg Cryptococcus Antigen Csf Inpatient & outpatient | 86403 HCPCS | $171 | $94.05 | — | — | |
| Lchg Mopath Procedure Level 4 Inpatient & outpatient | 81403 HCPCS | $1,464 | $805 | — | — | |
| Lchg Mopath Procedure Level 4 Cebpa Inpatient & outpatient | 81403 HCPCS | $573 | $315 | — | — | |
| Lchg Mopath Procedure Level 4 Jak2 Inpatient & outpatient | 81403 HCPCS | $556 | $306 | — | — | |
| Lchg Mopath Procedure Level 4 Ychr Inpatient & outpatient | 81403 HCPCS | $1,464 | $805 | — | — | |
| Lchg Testosterone Total Male Inpatient & outpatient | 84403 HCPCS | $204 | $112 | — | — |