SSM Health St. Mary's Hospital - Jefferson City

Jefferson City, MO

Posts prices for 43 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $3,912.70 $7,114 1.0×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,288.32 $2,342.40 1.5×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$2,515.26–$5,031.84 $4,573.20–$9,148.80 varies
CT head/brain without contrast (70450) $819.72 $1,490.40 7.8×
MRI brain without contrast (70551)
range across 2 matching MRF lines
$885.06–$1,180.08 $1,609.20–$2,145.60 varies
MRI brain with contrast (70552) $1,366.20 $2,484 3.9×
MRI brain without and with contrast (70553) $1,552.32 $2,822.40 4.4×
X-ray lower spine, 4+ views (72110) $456.06 $829.20 4.4×
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$931.70–$983.40 $1,694–$1,788 varies
CT pelvis with contrast (72193) $882.20 $1,604 5.0×
MRI lower-extremity joint without contrast (73721) $1,180.08 $2,145.60 4.9×
CT abdomen and pelvis with contrast (74177) $2,117.28 $3,849.60 6.1×
Ultrasound, abdomen complete (76700) $711.71 $1,294.02 6.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $605 $1,100 5.8×
Ultrasound, transvaginal (76830) $541.20 $984 5.2×
Mammography, one breast (diagnostic) (77065) $165 $300 1.9×
Mammography, both breasts (diagnostic) (77066) $330 $600 3.0×
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines
$85.25–$170.50 $155–$310 varies
Basic metabolic panel (80048) $67.65 $123 8.0×
Comprehensive metabolic panel (80053) $82.50 $150 7.8×
Lipid panel (80061)
range across 2 matching MRF lines
$67.65–$69.85 $123–$127 varies
Renal function panel (80069) $45.10 $82 5.2×
Hepatic function panel (80076) $45.10 $82 5.5×
Urinalysis, non-automated, without microscopy (81002)
range across 3 matching MRF lines
$10.45–$30.25 $19–$55 varies
PSA, total (84153)
range across 2 matching MRF lines
$78.10–$85.80 $142–$156 varies
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$35.75–$69.85 $65–$127 varies
CBC with automated differential (85025) $39.05 $71 5.0×
CBC, automated (85027) $27.50 $50 4.3×
Prothrombin time (PT) (85610)
range across 6 matching MRF lines
$13.20–$29.15 $24–$53 varies
Partial thromboplastin time (PTT) (85730)
range across 4 matching MRF lines
$25.30–$55.55 $46–$101 varies
Psychotherapy, 30 minutes (90832)
range across 3 matching MRF lines
$118.32–$212.14 $215.13–$385.71 varies
Psychotherapy, 45 minutes (90834)
range across 3 matching MRF lines
$79.08–$276.08 $143.79–$501.96 varies
Psychotherapy, 60 minutes (90837) $118.01 $214.56 0.7×
Family psychotherapy, without patient (50 min) (90846) $276.08 $501.96 1.6×
Family psychotherapy, with patient (50 min) (90847)
range across 2 matching MRF lines
$89.89–$302.37 $163.44–$549.77 varies
Group psychotherapy (90853)
range across 8 matching MRF lines
$149.60–$757.13 $272–$1,376.60 varies
Sleep study (attended polysomnography) (95810) $1,925 $3,500 2.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $75.35 $137 2.6×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$145.21–$177.65 $264.02–$323 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$159.56–$220.55 $290.10–$401 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$173.89–$255.20 $316.17–$464 varies
Office consultation (low complexity, ~30 min) (99243) $146.85 $267 1.1×
Office consultation (moderate complexity, ~40 min) (99244) $192.50 $350 1.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (CSV, 41.5 MB) ↓ — captured 2026-09-11

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