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Short Term Acute Care HospitalProprietary

Ssm Health St. Mary S Hospital - Jefferson City

SSM Health · Jefferson City, MO

2505 Mission Drive, Jefferson City, MO 65109(573) 681-3000

3 of 5

CMS star rating

154

Beds

6,911

Inpatient discharges a year

$164.4M

Net patient revenue a year

39

In-network payers

About this hospital

Ssm Health St. Mary S Hospital - Jefferson City is a 154-bed proprietary hospital in Jefferson City, MO, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 295 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
260011
NPI
1518065523
Health system
SSM Health
Teaching
No Medicare-funded residents
County
Cole County
Metro area
Jefferson City, MO MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2006

Prices for common services

The 24 services Ssm Health St. Mary S Hospital - Jefferson City most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,378 - $7,732

from 4 insurers · median $6,103

Cigna$7,732
Insurer A*$2,378
Insurer B*$5,075
Insurer C*$7,131

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$4,281 - $10,273

from 4 insurers · median $9,358

Cigna$10,273
Insurer A*$4,281
Insurer B*$9,208
Insurer C*$9,507

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$93,027 - $112,553

from 3 insurers · median $109,417

Blue Cross$93,027
Insurer A*$109,417
Insurer B*$112,553
Medicare $90,833Nearby hospitals $94,90115% above nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$326 - $1,532

from 4 insurers · median $820

Aetna$326
Insurer A*$812
Insurer B*$828
Insurer C*$1,532
Medicare $314Nearby hospitals $53553% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Ssm Health St. Mary S Hospital - Jefferson City

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
291%
23
Insurer B*24
226%
200
Insurer C*24
147%
129
Insurer D*19
118%
312

How we chose these services: 4 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ssm Health St. Mary S Hospital - Jefferson City, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 168 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.52%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 41 services
    • 265 affiliated clinicians
    See doctors and services
  • Finances

    $164.4M net patient revenue

    • Operating margin on patient care -13.1%
    • $5.9M unreimbursed and uncompensated care
    • $1.5M net income
    See finances
  • Ownership and leadership

    Owned by SSM Health Care Corporation

    • Private (for profit)
    • Shasta R Manuel, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ssm Health St. Mary S Hospital - Jefferson City in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
44-0546097St Marys Health Center59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1518065523 Ssm Regional Health Services1053368159 Ssm Regional Health Services1336555275 Ssm Regional Health Servicesand 25 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2505 Mission Drive, Jefferson City, MO 65109

(573) 681-3000

Get directions

Frequently asked questions

About Ssm Health St. Mary S Hospital - Jefferson City's rates and hospital price transparency.

How much does an MRI cost at Ssm Health St. Mary S Hospital - Jefferson City?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ssm Health St. Mary S Hospital - Jefferson City range from $590 to $1,652 across 4 insurers. Blue Cross Blue Shield's rate is $1,652. The median at nearby comparable hospitals is $716. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ssm Health St. Mary S Hospital - Jefferson City?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ssm Health St. Mary S Hospital - Jefferson City range from $326 to $1,532 across 4 insurers. Aetna's rate is $326. The median at nearby comparable hospitals is $535. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ssm Health St. Mary S Hospital - Jefferson City?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ssm Health St. Mary S Hospital - Jefferson City range from $438 to $2,889 across 4 insurers. UnitedHealthcare's rate is $2,889. The median at nearby comparable hospitals is $1,728. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ssm Health St. Mary S Hospital - Jefferson City?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ssm Health St. Mary S Hospital - Jefferson City range from $2,378 to $7,732 across 4 insurers. Cigna's rate is $7,732. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ssm Health St. Mary S Hospital - Jefferson City?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ssm Health St. Mary S Hospital - Jefferson City range from $105 to $313 across 4 insurers. UnitedHealthcare's rate is $217. The median at nearby comparable hospitals is $137. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ssm Health St. Mary S Hospital - Jefferson City's CMS star rating?

Ssm Health St. Mary S Hospital - Jefferson City has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Ssm Health St. Mary S Hospital - Jefferson City a teaching hospital?

CMS reports no Medicare-funded interns or residents at Ssm Health St. Mary S Hospital - Jefferson City for fiscal year 2027.

Does Medicare penalize Ssm Health St. Mary S Hospital - Jefferson City for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ssm Health St. Mary S Hospital - Jefferson City's base inpatient payments by an estimated 0.52% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ssm Health St. Mary S Hospital - Jefferson City?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (102 discharges), psychoses (61 discharges), simple pneumonia and pleurisy with mcc (46 discharges).

What is Ssm Health St. Mary S Hospital - Jefferson City's case mix index?

Ssm Health St. Mary S Hospital - Jefferson City's Medicare case mix index is 1.70 for fiscal year 2027, higher than 52% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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