Mercy Hospital Southeast
1701 Lacey St, Cape Girardeau, MO · Mercy · · NPI 1811006661
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $78.00 | $120.00 | $26.35 – $105.17 | 54 |
| 17-hydroxypregnenolone CPT 84143 | $44.20 | $68.00 | $20.53 – $81.93 | 54 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,435.85 | $2,209.00 | $467.42 – $5,037.63 | 49 |
| 2nd order venous cath CPT 36012 | $10,858.01 | $16,704.63 | $147.66 – $20,290.72 | 50 |
| 3d ech img cgen car anomal CPT 93319 | $47.45 | $73.00 | $19.88 – $19.88 | 1 |
| 3-d radiotherapy plan CPT 77295 | $31,252.00 | $48,080.00 | $220.57 – $8,894.73 | 51 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $25,698.89 | $39,536.75 | $47.44 – $23,959.22 | 51 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,128.29 | $4,812.75 | $29.51 – $3,892.88 | 44 |
| Abd aorta w/runoff s&i CPT 75630 | $2,503.15 | $3,851.00 | $54.58 – $20,290.72 | 50 |
| Abd/low ext cath 1st CPT 36245 | $43,665.35 | $67,177.46 | $198.76 – $74,185.64 | 50 |
| Abd/low ext cath 2nd CPT 36246 | $25,262.32 | $38,865.11 | $112.63 – $1,094.86 | 50 |
| Abd/low ext cath 3rd CPT 36247 | $55,583.02 | $85,512.34 | $249.16 – $74,185.64 | 50 |
| Abd/low ext cath addl CPT 36248 | $54,881.35 | $84,432.84 | $39.90 – $117,803.41 | 50 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,080.95 | $1,663.00 | $115.95 – $1,127.17 | 50 |
| Abdominal CT scan (with contrast) CPT 74160 | $984.75 | $1,515.00 | $115.95 – $1,127.17 | 50 |
| Abdominal CT scan (without contrast) CPT 74150 | $984.75 | $1,515.00 | $69.11 – $671.83 | 50 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,729.70 | $5,738.00 | $230.63 – $2,241.93 | 50 |
| Abdominal MRI (with contrast) CPT 74182 | $3,268.20 | $5,028.00 | $230.63 – $2,241.93 | 50 |
| Abdominal MRI (without contrast) CPT 74181 | $2,797.60 | $4,304.00 | $157.73 – $1,533.30 | 50 |
| Abdominal paracentesis w/image guidance CPT 49083 | $3,337.75 | $5,135.00 | $88.10 – $5,828.49 | 50 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,362.40 | $2,096.00 | $69.11 – $671.83 | 50 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,060.15 | $1,631.00 | $69.11 – $671.83 | 50 |
| Ablate heart dysrhythm focus CPT 93650 | $14,461.20 | $22,248.00 | $5,156.09 – $50,122.46 | 49 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $23,396.75 | $35,995.00 | $85.06 – $826.91 | 50 |
| Ablation cryo retro lymph node CPT 38999 | $18,690.79 | $28,755.06 | $26.03 – $2,835.10 | 50 |
| Abscess drain retroperitoneal surg code CPT 49406 | $6,822.47 | $10,496.11 | $160.12 – $10,613.58 | 50 |
| Acetaminophen level CPT 80143 | $162.50 | $250.00 | $16.78 – $66.95 | 53 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $129.02 | $198.50 | $29.29 – $29.29 | 1 |
| Acetone qualitative CPT 82009 | $50.05 | $77.00 | $4.07 – $16.24 | 54 |
| Acetylcholine receptor modulating antibody CPT 86043 | $39.65 | $61.00 | $10.85 – $43.28 | 53 |
| Acetylcholinesterase assay CPT 82013 | $42.90 | $66.00 | $11.06 – $44.15 | 51 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $162.53 | $250.05 | $37.80 – $37.80 | 1 |
| Acne surgery 10040 CPT 10040 | $40.95 | $63.00 | $40.19 – $1,289.32 | 49 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $248.30 | $382.00 | $88.01 – $855.54 | 50 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $26.65 | $41.00 | $11.62 – $42.53 | 42 |
| Actinotherapy uv light CPT 96900 | $147.55 | $227.00 | $24.69 – $240.01 | 50 |
| Acute hepatitis panel CPT 80074 | $386.75 | $595.00 | $42.87 – $171.09 | 54 |
| #acylcarnitineprfl CPT 82017 | $201.50 | $310.00 | $15.18 – $60.60 | 54 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $212.32 | $326.65 | $2.34 – $2.34 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $146.59 | $225.53 | $22.20 – $22.20 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $161.20 | $248.00 | $47.60 – $462.70 | 50 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $113.10 | $174.00 | $47.60 – $462.70 | 50 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,000.35 | $1,539.00 | $218.35 – $2,122.61 | 50 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $484.90 | $746.00 | $218.35 – $2,122.61 | 50 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $147.55 | $227.00 | $47.60 – $462.70 | 50 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $707.20 | $1,088.00 | $47.60 – $462.70 | 50 |
| Administration immunization 1 vaccine CPT 90471 | $108.55 | $167.00 | $19.44 – $462.70 | 49 |
| Administration immunization each additional component CPT 90461 | $25.35 | $39.00 | $8.19 – $29.99 | 42 |
| Administration immunization each additional vaccine CPT 90472 | $70.85 | $109.00 | $14.27 – $14.27 | 1 |
| Administration immunization first component each vaccine CPT 90460 | $36.40 | $56.00 | $20.89 – $76.47 | 42 |
| Administration vaccine influenza virus HCPCS G0008 | $70.85 | $109.00 | $30.95 – $300.90 | 44 |
| Administration vaccine pneumococcal HCPCS G0009 | $70.85 | $109.00 | $30.95 – $300.90 | 44 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $6,750.28 | $10,385.05 | $27.85 – $14,647.50 | 44 |
| Adrenal cortex & medulla img CPT 78075 | $2,639.65 | $4,061.00 | $677.44 – $5,078.94 | 48 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $74.10 | $114.00 | $60.32 – $60.32 | 1 |
| Aep neurodiagnostic i&r CPT 92653 | $904.80 | $1,392.00 | $72.58 – $1,387.59 | 49 |
| _afb id by dna probe rflx ast CPT 87149 | $164.45 | $253.00 | $18.05 – $72.02 | 52 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $347.75 | $535.00 | $103.82 – $414.37 | 54 |
| Albumin body fluid quantitative each specimen CPT 82042 | $88.40 | $136.00 | $7.00 – $27.95 | 54 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $292.50 | $450.00 | $35.03 – $130.17 | 42 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $292.50 | $450.00 | $35.03 – $185.78 | 44 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $100.10 | $154.00 | $5.20 – $20.76 | 54 |
| Albumin serum plasma or whole blood CPT 82040 | $67.60 | $104.00 | $4.46 – $17.78 | 54 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $183.95 | $283.00 | $15.54 – $62.03 | 53 |
| Alkaline phosphatase CPT 84075 | $92.30 | $142.00 | $4.66 – $18.61 | 54 |
| Allergen alpha lactalbumin ige CPT 86008 | $48.75 | $75.00 | $16.14 – $64.40 | 54 |
| Allergen egg white ige CPT 86003 | $91.65 | $141.00 | $4.70 – $18.75 | 54 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $14.30 | $22.00 | $7.17 – $28.63 | 51 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $715.00 | $1,100.00 | $83.91 – $799.71 | 44 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,228.50 | $1,890.00 | $3.39 – $1,816.50 | 44 |
| Alpha-fetoprotein amniotic CPT 82106 | $39.65 | $61.00 | $15.30 – $61.06 | 52 |
| Alpha-fetoprotein tumor marker CPT 82105 | $191.10 | $294.00 | $15.09 – $60.24 | 54 |
| Alprostadil for injection HCPCS J0270 | $550.37 | $846.72 | $6,984.00 – $6,984.00 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $17,160.70 | $26,401.08 | $62.76 – $659.05 | 44 |
| Alt/sgpt CPT 84460 | $100.10 | $154.00 | $4.77 – $19.04 | 54 |
| Aluminum - quest CPT 82108 | $33.15 | $51.00 | $22.93 – $91.52 | 54 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $25.19 | $38.75 | $5.25 – $5.25 | 1 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $29.25 | $45.00 | $12.75 – $12.75 | 1 |
| Aminolevulinic acid delta CPT 82135 | $37.70 | $58.00 | $14.81 – $59.09 | 54 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $46.02 | $70.80 | $28.22 – $28.22 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $150.15 | $231.00 | $22.20 – $22.20 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $55.81 | $85.86 | $4.35 – $4.35 | 1 |
| Ammonia CPT 82140 | $176.15 | $271.00 | $13.11 – $52.34 | 54 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $156.00 | $240.00 | $58.00 – $58.00 | 1 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,065.54 | $1,639.30 | $192.25 – $395.85 | 3 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $23.09 | $35.53 | $1.66 – $1.66 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $13.65 | $21.00 | $2.53 – $2.53 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $554.45 | $853.00 | $236.69 – $944.66 | 53 |
| Amylase CPT 82150 | $166.40 | $256.00 | $5.83 – $23.28 | 54 |
| Anal/urinary muscle study CPT 51785 | $646.75 | $995.00 | $165.17 – $1,605.57 | 49 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $87.10 | $134.00 | $40.46 – $610.94 | 49 |
| Analysis gene f2 20210g>a variant CPT 81240 | $425.10 | $654.00 | $59.12 – $235.96 | 54 |
| Analysis gene f5 leiden variant CPT 81241 | $223.60 | $344.00 | $66.03 – $263.55 | 54 |
| Analysis nerve CPT 88356 | $2,531.10 | $3,894.00 | $91.10 – $2,189.72 | 51 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $51.35 | $79.00 | $24.67 – $239.83 | 49 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $51.35 | $79.00 | $31.58 – $126.04 | 53 |
| Anca screen with reflex to titer -quest CPT 86021 | $37.70 | $58.00 | $7.96 – $54.06 | 54 |
| An cholangiogram percutaneous compl CPT 47531 | $1,802.19 | $2,772.60 | $58.51 – $23,008.51 | 50 |
| An fluoro guide for cvp CPT 77001 | $627.25 | $965.00 | $182.78 – $182.78 | 1 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $21,415.92 | $32,947.57 | $122.79 – $36,575.29 | 50 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.