Pdt dstr prmlg les phys/qhp at Mercy Hospital Southeast
1701 Lacey St, Cape Girardeau, MO · Mercy · · NPI 1811006661
$199.55
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.
$307.00
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.
$15.73 with MERIDIAN MEDICAID CONTRACTED [320430] vs $1,289.32 with OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] — 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 |
|---|---|---|---|
| MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $15.73 | ↓ -92% |
| MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.73 | ↓ -92% |
| AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $15.73 | ↓ -92% |
| MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.73 | ↓ -92% |
| MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.73 | ↓ -92% |
| COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $36.30 | ↓ -82% |
| MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $36.30 | ↓ -82% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $114.95 | ↓ -42% |
| IMAGINE 360 CONTRACTED [320494] | HB CAPE DEC ROBINSON CONSTRUCTION NEW 010125 | $132.63 | ↓ -34% |
| AETNA CONTRACTED [320008] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $154.88 | ↓ -22% |
| FIRST HEALTH CONTRACTED [320128] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $154.88 | ↓ -22% |
| HEALTH ALLIANCE CONTRACTED [320164] | HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) | $157.30 | ↓ -21% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $164.56 | ↓ -18% |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $164.56 | ↓ -18% |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 | $164.56 | ↓ -18% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD WOODARD DEC NEW 110125 | $164.56 | ↓ -18% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $164.56 | ↓ -18% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD HERMANN DEC 010125 | $164.56 | ↓ -18% |
| HEALTHLINK CONTRACTED [320179] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $164.56 | ↓ -18% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD EASTER SEALS DEC NEW 010125 | $164.56 | ↓ -18% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD BARTEL DEC NEW 11.01.25 | $164.56 | ↓ -18% |
| MERCY BENEFIT ADMIN [20251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $164.56 | ↓ -18% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 | $164.56 | ↓ -18% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB CAPE STOD WOODARD DEC NEW 110125 | $164.56 | ↓ -18% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD TALL TREE DEC NEW 11.01.25 | $164.56 | ↓ -18% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $164.56 | ↓ -18% |
| MEDICAID [20240] | HB CAPE MO MEDICAID | $169.39 | ↓ -15% |
| HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK STATE OF ILLINOIS | $169.40 | ↓ -15% |
| HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK HMO | $169.40 | ↓ -15% |
| WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $181.50 | ↓ -9% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $186.07 | ↓ -7% |
| HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK PPO/WC | $188.76 | ↓ -5% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB CAPE MULTIPLAN/PHCS | $193.60 | ↓ -3% |
| WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $193.60 | ↓ -3% |
| MULTIPLAN CONTRACTED [320270] | HB CAPE MULTIPLAN/PHCS | $193.60 | ↓ -3% |
| KINDFUL HOSPICE [20434] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB CAPE HUMANA MEDICARE IP 97% OP 100% W/SEQ | $197.14 | ↓ -1% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| HALO HCR INC HOSPICE [20432] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| MERCY HOSPICE OKC [20252] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| TRICARE CONTRACTED [320380] | HB CAPE TRICARE | $197.14 | ↓ -1% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB CAPE UHC MEDICARE ADVANTAGE 100% | $197.14 | ↓ -1% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB CAPE HOME STATE MEDICARE ADVANTAGE 100% W/SEQ | $197.14 | ↓ -1% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| BCBS MEDICARE ADVANTAGE [20047] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB CAPE UHC VA-CCN | $197.14 | ↓ -1% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| MEDICARE [20244] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB CAPE AETNA MEDICARE 100% | $197.14 | ↓ -1% |
| CROSS TIMBERS HOSPICE [20098] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| ACENTRA HEALTH CONTRACTED [320527] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $197.14 | ↓ -1% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB CAPE ESSENCE 100% MEDICARE W/O SEQ NEW 010125 | $200.96 | ↑ +1% |
| AMERICAN HEALTH ADVANTAGE OF MO MCR HMO CONTRACTED [320264] | HB CAPE AMERICAN HEALTH MEDICARE MO SELECT 103% W/SEQ | $203.05 | ↑ +2% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB CAPE DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $205.02 | ↑ +3% |
| HUMANA CONTRACTED [320193] | HB CAPE HUMANA COMMERCIAL | $205.70 | ↑ +3% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB CAPE WELLCARE KY 105% MEDICARE W/SEQ | $207.19 | ↑ +4% |
| HOME STATE MEDICAID CONTRACTED [320189] | HB CAPE HOME STATE MANAGED MEDICAID | $225.29 | ↑ +13% |
| MEDICAID PENDING [20241] | HB CAPE HOME STATE MANAGED MEDICAID | $225.29 | ↑ +13% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB CAPE PROVIDER PARTNERS PPHP 115% MCR SEQ | $226.72 | ↑ +14% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM TRAD | $229.90 | ↑ +15% |
| UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB CAPE UHC MANAGED MEDICAID | $254.09 | ↑ +27% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB CAPE HOME STATE AMBETTER EXCHANGE BH & 130% MCR | $255.07 | ↑ +28% |
| AMBETTER CONTRACTED [320452] | HB CAPE HOME STATE AMBETTER EXCHANGE BH & 130% MCR | $255.07 | ↑ +28% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 140% OP 140% DEFAULT 50% | $276.00 | ↑ +38% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB CAPE DEC RATES IP 150% OP 150% DEFAULT 70% | $295.71 | ↑ +48% |
| MEDICAID PENDING [20241] | HB CAPE MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | $304.90 | ↑ +53% |
| BCBS MEDICAID CONTRACTED [320046] | HB CAPE MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | $304.90 | ↑ +53% |
| HEALTHLINK CONTRACTED [320179] | HB CAPE SCHAEFER ELECTRICAL DEC 165% W/O SEQ | $331.58 | ↑ +66% |
| AUXIANT CONTRACTED [320462] | HB CAPE CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $331.58 | ↑ +66% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $331.58 | ↑ +66% |
| EBMS CONTRACTED [320493] | HB CAPE CRADER DISTRIBUTING DEC 165% W/O SEQ NEW 090125 | $331.58 | ↑ +66% |
| CENTIVO CONTRACTED [320505] | HB CAPE CENTIVO 165% MEDICARE NEW 110124 | $331.58 | ↑ +66% |
| REFLECT HEALTH CONTRACTED [320492] | HB CAPE WW WOODS DEC 171% DEFAULT 70% W/O SEQ | $343.64 | ↑ +72% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 175% OP 175% DEFAULT 50% | $345.01 | ↑ +73% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB CAPE CITY OF CAPE DEC 175% MCR W/O SEQ | $351.68 | ↑ +76% |
| AUXIANT CONTRACTED [320462] | HB CAPE DEC BUCHHEIT IP 225% OP 200% DEFAULT 70% | $394.28 | ↑ +98% |
| HEALTHLINK CONTRACTED [320179] | HB CAPE DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $443.58 | ↑ +122% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $443.58 | ↑ +122% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB CAPE UHC EXCHANGE | $482.30 | ↑ +142% |
| HOPE TRUST CONTRACTED [320488] | HB CAPE DEC HOPE TRUST IP 250% OP 250% DEFAULT 70% | $492.85 | ↑ +147% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB CAPE CIGNA COMMERCIAL | $633.36 | ↑ +217% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM PATHWAY/EXCHANGE | $647.15 | ↑ +224% |
| MC ANTHEM [20455] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $787.09 | ↑ +294% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $787.09 | ↑ +294% |
| MC GENERIC ANTHEM [20456] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $787.09 | ↑ +294% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB CAPE STOD UHC CORE | $1,058.37 | ↑ +430% |
| MC ANTHEM [20455] | HB CAPE ANTHEM BLUE ACCESS | $1,108.71 | ↑ +456% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM BLUE ACCESS | $1,108.71 | ↑ +456% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB CAPE STOD UHC ALL PAYER | $1,289.32 | ↑ +546% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB CAPE STOD UHC ALL PAYER | $1,289.32 | ↑ +546% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB CAPE STOD UHC ALL PAYER | $1,289.32 | ↑ +546% |
Visitor-reported prices
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Pdt dstr prmlg les phys/qhp at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $199.55 | $237.15 – $473.67 |