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 |
|---|---|---|---|---|
| Gardner vag dna quant CPT 87512 | $50.05 | $77.00 | $37.58 – $150.00 | 54 |
| Gastric emptying imag study CPT 78265 | $744.90 | $1,146.00 | $256.39 – $2,569.04 | 50 |
| Gastric emptying imag study CPT 78266 | $1,029.60 | $1,584.00 | $294.00 – $3,489.27 | 50 |
| Gastroesophageal reflux study CPT 78262 | $1,549.60 | $2,384.00 | $264.27 – $1,568.32 | 48 |
| Gastroesophageal reflux test CPT 91034 | $2,211.95 | $3,403.00 | $128.59 – $2,397.98 | 50 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $82.44 | $126.83 | $5.03 – $5.03 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $22.85 | $35.15 | $4.45 – $4.45 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $210.60 | $324.00 | $14.74 – $58.84 | 54 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,155.70 | $1,778.00 | $452.33 – $5,518.45 | 49 |
| Ghs abscess perianal iandd CPT 46050 | $16,397.94 | $25,227.60 | $93.91 – $5,976.15 | 50 |
| Ghs abscess postoperative iandd complex CPT 10180 | $142.35 | $219.00 | $160.53 – $18,666.40 | 49 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $37.05 | $57.00 | $8.83 – $35.24 | 52 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $115.05 | $177.00 | $15.25 – $855.03 | 50 |
| Ghs bladder cath - complex-foley CPT 51703 | $169.00 | $260.00 | $64.22 – $826.91 | 49 |
| Ghs chemo IV push, ea addtl CPT 96411 | $199.55 | $307.00 | $47.60 – $462.70 | 50 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $5,856.99 | $9,010.75 | $687.26 – $22,772.82 | 50 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $59.15 | $91.00 | $13.69 – $54.63 | 54 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,479.75 | $3,815.00 | $70.44 – $4,536.18 | 50 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $512.20 | $788.00 | $133.38 – $1,387.59 | 50 |
| Ghs electrostagmgraphy CPT 92537 | $571.35 | $879.00 | $85.06 – $504.80 | 48 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $55.90 | $86.00 | $54.86 – $2,612.34 | 49 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $61.75 | $95.00 | $6.28 – $25.07 | 54 |
| Ghs fish cytogen CPT 88271 | $252.20 | $388.00 | $19.28 – $76.94 | 54 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $153.40 | $236.00 | $46.07 – $183.87 | 54 |
| Ghs gastric intub aspiration lavage CPT 43753 | $59,342.80 | $91,296.61 | $19.51 – $1,387.59 | 49 |
| Ghs histoplasma antigen CPT 87385 | $289.25 | $445.00 | $11.93 – $47.59 | 54 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $14,459.76 | $22,245.79 | $395.84 – $7,689.88 | 50 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $83.85 | $129.00 | $468.12 – $2,778.01 | 47 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $13,896.92 | $21,379.87 | $98.36 – $1,605.57 | 50 |
| Ghs inf midline insertion CPT 36140 | $31,550.36 | $48,539.01 | $75.79 – $20,833.40 | 50 |
| Ghs inhibitor screen CPT 85335 | $314.60 | $484.00 | $11.58 – $46.23 | 54 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $819.65 | $1,261.00 | $155.58 – $5,683.82 | 49 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $17,243.74 | $26,528.83 | $207.50 – $10,613.58 | 50 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $104.00 | $160.00 | $30.95 – $300.90 | 45 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $12,562.36 | $19,326.71 | $122.36 – $2,612.34 | 50 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $115.05 | $177.00 | $119.50 – $2,612.34 | 49 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $20,445.48 | $31,454.58 | $137.59 – $2,612.34 | 50 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $157.95 | $243.00 | $159.93 – $2,612.34 | 49 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $17,243.74 | $26,528.83 | $155.75 – $2,612.34 | 50 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $206.05 | $317.00 | $268.73 – $1,594.75 | 47 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $15,877.10 | $24,426.31 | $166.78 – $2,612.34 | 50 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $21,494.52 | $33,068.50 | $176.95 – $18,666.40 | 50 |
| Ghs mbp CPT 83873 | $18.20 | $28.00 | $15.48 – $61.78 | 54 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $223.60 | $344.00 | $20.17 – $20.17 | 1 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $184.60 | $284.00 | $68.32 – $68.32 | 1 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $35.75 | $55.00 | $51.92 – $51.92 | 1 |
| Ghs musc test done w/n test comp CPT 95886 | $628.55 | $967.00 | $185.72 – $185.72 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $209.30 | $322.00 | $159.93 – $159.93 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $382.85 | $589.00 | $43.21 – $170.24 | 2 |
| Ghs nerve block brachial plexus CPT 64415 | $35,853.41 | $55,159.09 | $905.51 – $46,630.14 | 50 |
| Ghs nerve block sciatic nerve CPT 64445 | $33,211.72 | $51,094.96 | $62.63 – $46,630.14 | 50 |
| Ghs o2 saturation CPT 82810 | $18.20 | $28.00 | $8.79 – $35.09 | 54 |
| Ghs ot prosthetic training/15 min CPT 97761 | $102.05 | $157.00 | $35.35 – $133.55 | 47 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $82.55 | $127.00 | $52.51 – $196.30 | 49 |
| Ghs pacing - transcutaneous CPT 92953 | $718.90 | $1,106.00 | $0.93 – $4,247.35 | 50 |
| Ghs phenylketonurid CPT 84030 | $98.80 | $152.00 | $4.95 – $19.76 | 54 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $5,074.55 | $7,807.00 | $567.68 – $5,518.45 | 50 |
| Ghs ppd (tb intradermal) CPT 86580 | $85.80 | $132.00 | $9.36 – $185.84 | 50 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $31.85 | $49.00 | $8.69 – $34.70 | 51 |
| Ghs protoporphyrins fract CPT 84202 | $79.30 | $122.00 | $12.92 – $51.55 | 52 |
| Ghs pr without cont pulse ox CPT 94625 | $261.30 | $402.00 | $39.00 – $379.10 | 49 |
| Ghs reticulocyte count CPT 85044 | $93.60 | $144.00 | $3.88 – $15.48 | 54 |
| Ghs sensitivity (per antimicro) CPT 87184 | $29.25 | $45.00 | $6.73 – $26.87 | 54 |
| Ghs sleep study unattended CPT 95800 | $657.80 | $1,012.00 | $86.78 – $847.08 | 48 |
| Ghs somatosensory testing lower extremit CPT 95926 | $922.35 | $1,419.00 | $93.04 – $1,387.59 | 50 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $949.00 | $1,460.00 | $452.33 – $5,518.45 | 50 |
| Ghs st - eval for alt comm CPT 92567 | $55.90 | $86.00 | $8.29 – $240.01 | 50 |
| Ghs urine, porphyrins quant CPT 84120 | $223.60 | $344.00 | $13.24 – $52.84 | 54 |
| Ghs vaginal delivery only CPT 59409 | $166.40 | $256.00 | $2,139.95 – $12,699.31 | 46 |
| Gi inhouse confirmation CPT 87045 | $159.90 | $246.00 | $8.50 – $33.91 | 54 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,375.40 | $2,116.00 | $578.77 – $5,828.49 | 50 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $487.50 | $750.00 | $89.10 – $507.08 | 44 |
| Glucagon plasma - sendout CPT 82943 | $89.70 | $138.00 | $12.86 – $51.33 | 52 |
| Glucose 1 hr post dose CPT 82950 | $131.95 | $203.00 | $4.28 – $17.06 | 54 |
| Glucose blood quantitative CPT 82947 | $90.35 | $139.00 | $3.54 – $14.12 | 54 |
| Glucose body fluid CPT 82945 | $100.10 | $154.00 | $3.54 – $14.12 | 54 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $96.85 | $149.00 | $39.00 – $379.10 | 45 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $104.00 | $160.00 | $11.58 – $46.23 | 54 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $104.00 | $160.00 | $3.53 – $14.08 | 54 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7.15 | $11.00 | $0.73 – $1.51 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,256.49 | $5,009.98 | $7.45 – $1,930.25 | 44 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $223.60 | $344.00 | $16.72 – $66.74 | 54 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $195.00 | $300.00 | $16.67 – $66.52 | 54 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,923.71 | $2,959.55 | $1,248.06 – $2,569.53 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $711.10 | $1,094.00 | $83.91 – $799.71 | 44 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $627.90 | $966.00 | $83.91 – $799.71 | 44 |
| Guid loc target vol rad tx CPT 77387 | $26,517.40 | $40,796.00 | $33.97 – $9,624.60 | 51 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.15 | $11.00 | $1.43 – $1.43 | 1 |
| Hand X-ray CPT 73130 | $585.00 | $900.00 | $51.43 – $559.25 | 50 |
| Haptoglobin quantitative CPT 83010 | $136.50 | $210.00 | $11.32 – $45.19 | 54 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $310.70 | $478.00 | $182.16 – $727.02 | 54 |
| Hbot, full body chamber, 30m HCPCS G0277 | $734.50 | $1,130.00 | $90.97 – $884.29 | 49 |
| Hcg qualitative CPT 84703 | $170.95 | $263.00 | $6.77 – $27.01 | 54 |
| Hcg quantitative CPT 84702 | $215.80 | $332.00 | $13.55 – $54.06 | 54 |
| Hc nm kidney imaging with flow CPT 78701 | $1,082.90 | $1,666.00 | $264.27 – $1,568.32 | 48 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $3,703.70 | $5,698.00 | $855.85 – $8,319.73 | 50 |
| Head CT scan (with and without contrast) CPT 70470 | $1,801.80 | $2,772.00 | $115.95 – $1,127.17 | 50 |
| Head CT scan (with contrast) CPT 70460 | $1,633.45 | $2,513.00 | $115.95 – $1,127.17 | 50 |
| Head CT scan (without contrast) CPT 70450 | $1,565.20 | $2,408.00 | $69.11 – $671.83 | 50 |
| Helicobacter pylori antibody igm CPT 86677 | $44.20 | $68.00 | $15.17 – $60.53 | 52 |
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.