Physician
Pulmonary Disease
Pulmonary Disease
JEFFERSON CITY, MO
SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY
ssmhealth.com/locations/mid-missouri/st-marys-hospital-jefferson-city
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $573 | $267 | $267 | 19 |
99205 New patient office or other outpatient visit, 60-74 minutes | $370 | $207 | $157 | 20 |
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $319 | $166 | $130 | 139 |
99495 Transitional care management services for problem of at least moderate complexity | $302 | $190 | $152 | 23 |
99204 New patient office or other outpatient visit, 45-59 minutes | $293 | $157 | $105 | 52 |
91320 Sarscv2 vac 30mcg trs-suc im | $288 | $128 | $128 | 61 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $217 | $125 | $98 | 53 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $215 | $119 | $88 | 2,208 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $174 | $121 | $121 | 201 |
99239 Hospital discharge day management, more than 30 minutes | $167 | $109 | $87 | 173 |
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $163 | $107 | $86 | 58 |
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $160 | $57 | $45 | 29 |
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $139 | $76 | $60 | 796 |
90662 Influenza vaccine split virus, preservative free | $115 | $72 | $72 | 216 |
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | $98 | $48 | $36 | 38 |
83880 Natriuretic peptide (heart and blood vessel protein) level | $94 | $38 | $38 | 19 |
82306 Vitamin d-3 level | $82 | $29 | $29 | 31 |
94010 Test to measure expiratory airflow and volume | $60 | $22 | $16 | 117 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $58 | $40 | $40 | 16 |
90480 Admn sarscov2 vacc 1 dose | $58 | $40 | $40 | 61 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $52 | $19 | $19 | 78 |
84443 Blood test, thyroid stimulating hormone (tsh) | $48 | $16 | $16 | 102 |
82607 Cyanocobalamin (vitamin b-12) level | $43 | $15 | $15 | 28 |
G0009 Administration of pneumococcal vaccine | $43 | $30 | $30 | 18 |
96372 Injection of drug or substance under skin or into muscle | $42 | $13 | $9 | 210 |
80061 Blood test, lipids (cholesterol and triglycerides) | $41 | $13 | $13 | 257 |
J0897 Injection, denosumab, 1 mg | $40 | $23 | $18 | 1,260 |
G0008 Administration of influenza virus vaccine | $37 | $30 | $30 | 224 |
94060 Test to measure expiratory airflow and volume changes before and after medication administration | $35 | $11 | $8 | 21 |
80053 Blood test, comprehensive group of blood chemicals | $32 | $10 | $10 | 141 |
83036 Hemoglobin a1c level | $30 | $10 | $10 | 156 |
94727 Test to determine lung volumes using gas dilution or washout | $25 | $11 | $9 | 20 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $24 | $8 | $8 | 219 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $24 | $8 | $8 | 341 |
94729 Test to examine how well the lungs exchange gases | $19 | $10 | $8 | 29 |
J1030 Injection, methylprednisolone acetate, 40 mg | $14 | $7 | $6 | 97 |
85610 Blood test, clotting time | $11 | $4 | $4 | 73 |
36415 Insertion of needle into vein for collection of blood sample | $10 | $8 | $8 | 500 |
81001 Manual urinalysis test with examination using microscope, automated | $9 | $3 | $3 | 49 |
85652 Red blood cell sedimentation rate, to detect inflammation, automated | $8 | $3 | $3 | 28 |
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | $8 | $2 | $1 | 83 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.