Bx pleura pq ndl at Mercy Hospital Southeast
1701 Lacey St, Cape Girardeau, MO · Mercy · · NPI 1811006661
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$190.32 with MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] vs $14,290.50 with CIGNA HEALTHCARE CONTRACTED [320071] — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $190.32 | — |
| MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $190.32 | — |
| AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $190.32 | — |
| MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $190.32 | — |
| MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $190.32 | — |
| COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $439.20 | — |
| MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $439.20 | — |
| MC ANTHEM [20455] | HB CAPE ANTHEM BLUE ACCESS | $529.97 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM BLUE ACCESS | $529.97 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $529.97 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM PATHWAY/EXCHANGE | $529.97 | — |
| MC GENERIC ANTHEM [20456] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $529.97 | — |
| MC ANTHEM [20455] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $529.97 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $1,390.80 | — |
| HEALTHLINK CONTRACTED [320179] | HB CAPE DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $1,464.00 | — |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 140% OP 140% DEFAULT 50% | $1,464.00 | — |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $1,464.00 | — |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 175% OP 175% DEFAULT 50% | $1,464.00 | — |
| AETNA CONTRACTED [320008] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $1,586.98 | — |
| FIRST HEALTH CONTRACTED [320128] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $1,586.98 | — |
| HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK HMO | $1,756.80 | — |
| HEALTH ALLIANCE CONTRACTED [320164] | HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) | $1,903.20 | — |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB CAPE DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $1,903.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $1,991.04 | — |
| HEALTHLINK CONTRACTED [320179] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $1,991.04 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $1,991.04 | — |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $1,991.04 | — |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 | $1,991.04 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD TALL TREE DEC NEW 11.01.25 | $1,991.04 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD EASTER SEALS DEC NEW 010125 | $1,991.04 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD HERMANN DEC 010125 | $1,991.04 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD BARTEL DEC NEW 11.01.25 | $1,991.04 | — |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $1,991.04 | — |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD WOODARD DEC NEW 110125 | $1,991.04 | — |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 | $1,991.04 | — |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB CAPE STOD WOODARD DEC NEW 110125 | $1,991.04 | — |
| MERCY BENEFIT ADMIN [20251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $1,991.04 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $2,049.60 | — |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB CAPE CITY OF CAPE DEC 175% MCR W/O SEQ | $2,049.60 | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB CAPE DEC RATES IP 150% OP 150% DEFAULT 70% | $2,049.60 | — |
| IMAGINE 360 CONTRACTED [320494] | HB CAPE DEC ROBINSON CONSTRUCTION NEW 010125 | $2,049.60 | — |
| HEALTHLINK CONTRACTED [320179] | HB CAPE SCHAEFER ELECTRICAL DEC 165% W/O SEQ | $2,049.60 | — |
| REFLECT HEALTH CONTRACTED [320492] | HB CAPE WW WOODS DEC 171% DEFAULT 70% W/O SEQ | $2,049.60 | — |
| HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK PPO/WC | $2,049.60 | — |
| HOPE TRUST CONTRACTED [320488] | HB CAPE DEC HOPE TRUST IP 250% OP 250% DEFAULT 70% | $2,049.60 | — |
| EBMS CONTRACTED [320493] | HB CAPE CRADER DISTRIBUTING DEC 165% W/O SEQ NEW 090125 | $2,049.60 | — |
| AUXIANT CONTRACTED [320462] | HB CAPE DEC BUCHHEIT IP 225% OP 200% DEFAULT 70% | $2,049.60 | — |
| AUXIANT CONTRACTED [320462] | HB CAPE CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $2,049.60 | — |
| WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $2,196.00 | — |
| MULTIPLAN CONTRACTED [320270] | HB CAPE MULTIPLAN/PHCS | $2,342.40 | — |
| WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $2,342.40 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB CAPE MULTIPLAN/PHCS | $2,342.40 | — |
| HUMANA CONTRACTED [320193] | HB CAPE HUMANA COMMERCIAL | $2,488.80 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM TRAD | $2,781.60 | — |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB CAPE UHC VA-CCN | $2,928.00 | — |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB CAPE CIGNA COMMERCIAL | $14,290.50 | — |
| HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK STATE OF ILLINOIS | not published by hospital | — |
Visitor-reported prices
Comments
Bx pleura pq ndl at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Orthopedic Hospital Springfield | Ozark | $3,755.70 | $70.07 – $3,129.75 |