Missouri / SSM Health St. Mary's Hospital - Jefferson City
CMS certification 260011 · Jefferson City, MO · 2 entries in CMS's price-transparency list
SSM Health St. Mary's Hospital - Jefferson City: charges and Medicare payments
SSM Health St. Mary's Hospital - Jefferson City reported 620 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 3.2 times what it was paid — among the lower ratios in Missouri, number 45 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 102 stays at an average charge of $43,999, 51% below the national average. It also billed 831 outpatient services, charging 6.21 times what Medicare paid.
- 1Medicare inpatient stays 620
- 2Charge ÷ paid, inpatient 3.2×
- 3Rank in MO (highest ratio = 1) 45 of 59
- 4CMS price-transparency actions 2
Inpatient stays
For the 26 DRGs that can be compared with the national average, SSM Health St. Mary's Hospital - Jefferson City charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 102 | $43,999 | -51% | $13,124 |
| 885 Psychoses | 61 | $25,060 | -43% | $10,087 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $33,931 | -43% | $9,239 |
| 291 Heart Failure and Shock with MCC | 38 | $26,876 | -52% | $9,284 |
| 683 Renal Failure with CC | 30 | $19,553 | -52% | $6,965 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $35,099 | -50% | $11,245 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $20,555 | -46% | $6,143 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $19,161 | -52% | $6,167 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $28,484 | -51% | $9,177 |
| 948 Signs and Symptoms without MCC | 20 | $19,345 | -49% | $6,276 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $27,075 | -44% | $7,345 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $57,728 | -50% | $13,051 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 16 | $109,720 | -46% | $30,774 |
| 682 Renal Failure with MCC | 16 | $29,664 | -55% | $10,248 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $25,560 | -48% | $7,339 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $21,225 | -45% | $6,286 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $27,776 | -46% | $8,787 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $87,075 | -62% | $30,467 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $27,337 | -46% | $8,123 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $39,772 | -48% | $10,367 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $18,373 | -49% | $5,869 |
| 312 Syncope and Collapse | 13 | $28,176 | -38% | $6,934 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 13 | $128,988 | -54% | $42,487 |
| 552 Medical Back Problems without MCC | 13 | $21,287 | -56% | $7,233 |
| 603 Cellulitis without MCC | 13 | $13,999 | -62% | $6,700 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $23,129 | -49% | $7,399 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), SSM Health St. Mary's Hospital - Jefferson City charged $43,999 on average, 40% less than the Missouri average of $72,886, and was paid $13,124 against a state average of $15,808. For Psychoses (DRG 885), SSM Health St. Mary's Hospital - Jefferson City charged $25,060 on average, 19% less than the Missouri average of $30,825, and was paid $10,087 against a state average of $12,977. For Simple Pneumonia and Pleurisy with MCC (DRG 193), SSM Health St. Mary's Hospital - Jefferson City charged $33,931 on average, 29% less than the Missouri average of $47,966, and was paid $9,239 against a state average of $10,821. For Heart Failure and Shock with MCC (DRG 291), SSM Health St. Mary's Hospital - Jefferson City charged $26,876 on average, 42% less than the Missouri average of $46,468, and was paid $9,284 against a state average of $10,539. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,030 was 37% below the state average of $20,571. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $26,247 was 40% above the state average of $18,762. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $13,239 was 11% above the state average of $11,923. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $4,016 was 62% below the state average of $10,541.
Price-transparency record
CMS's enforcement list records these actions for a hospital named SSM Health St. Mary's Hospital - Jefferson City in Jefferson City, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-05-30 (CMS case 1303)
- Met Requirements — 2025-07-30 (CMS case 6057)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.