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.
8 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Amoxicillin (Trihydrate) Cap 250 MG Inpatient & outpatient | 450 CDM | $3.30 | $1.82 | — | — | |
| Carboplatin IV Soln 450 MG/45ML Inpatient & outpatient | 39267 CDM | $257 | $142 | — | — | |
| Celecoxib Cap 100 MG Inpatient & outpatient | 24500 CDM | $39.64 | $21.80 | — | — | |
| Celecoxib Cap 200 MG Inpatient & outpatient | 24501 CDM | $25.01 | $13.76 | — | — | |
| Hydrocodone-Acetaminophen Tab 5-325 MG Inpatient & outpatient | 34505 CDM | $4.40 | $2.42 | — | — | |
| Lchg Ast Blood Inpatient & outpatient | 84450 HCPCS | $39.00 | $21.45 | — | — | |
| Lchg Ast Blood I Inpatient & outpatient | 84450 HCPCS | $67.00 | $36.85 | — | — | |
| Lchg Cyp2C19 Gene Cytochrom P450 Inpatient & outpatient | 81225 HCPCS | $1,751 | $963 | — | — |