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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $199.55 | $307.00 | $9.30 – $37.11 | 52 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $55.25 | $85.00 | $21.67 – $86.50 | 54 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $194.35 | $299.00 | $10.78 – $43.03 | 54 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $46.15 | $71.00 | $10.78 – $43.03 | 54 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $22.10 | $34.00 | $10.78 – $43.03 | 54 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $564.20 | $868.00 | $31.58 – $126.04 | 54 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $96.20 | $148.00 | $31.58 – $126.04 | 54 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $237.90 | $366.00 | $33.54 – $133.87 | 54 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $492.05 | $757.00 | $375.10 – $1,497.07 | 54 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $435.50 | $670.00 | $31.58 – $126.04 | 54 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $183.30 | $282.00 | $31.58 – $126.04 | 54 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $273.65 | $421.00 | $37.51 – $149.71 | 54 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $96.20 | $148.00 | $31.58 – $126.04 | 54 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $146.25 | $225.00 | $46.18 – $184.31 | 53 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $339.30 | $522.00 | $128.37 – $512.33 | 53 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $85.80 | $132.00 | $31.58 – $126.04 | 54 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $80.60 | $124.00 | $31.58 – $126.04 | 54 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $81.25 | $125.00 | $68.85 – $252.09 | 40 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $607.75 | $935.00 | $375.10 – $1,497.07 | 54 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $526.50 | $810.00 | $38.56 – $153.88 | 54 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $477.75 | $735.00 | $38.56 – $153.88 | 54 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $423.80 | $652.00 | $38.56 – $153.88 | 54 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $494.65 | $761.00 | $76.59 – $305.68 | 54 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $779.67 | $1,199.50 | $20.49 – $1,091.30 | 44 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,545.50 | $2,377.70 | $17.18 – $688.80 | 44 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $277.81 | $427.40 | $141.93 – $292.22 | 3 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,963.00 | $3,020.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $664.95 | $1,023.00 | $144.76 – $1,407.20 | 49 |
| Inj, bupivacaine liposome HCPCS J0666 | $658.74 | $1,013.44 | $0.93 – $552.79 | 44 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $16.17 | $24.88 | $8.40 – $8.40 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $19.17 | $29.50 | $6.20 – $12.74 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $7.15 | $11.00 | $1.70 – $3.50 | 3 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $802.13 | $1,234.05 | $1.60 – $840.00 | 44 |
| Inj ceftolozane tazobactam HCPCS J0695 | $622.80 | $958.15 | $5.83 – $639.10 | 44 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,574.00 | $3,960.00 | $1,775.04 – $3,654.49 | 3 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,912.30 | $2,942.00 | $0.33 – $1,624.00 | 44 |
| Injection, belinostat, 10mg HCPCS J9032 | $4,181.18 | $6,432.58 | $35.05 – $9,107.00 | 44 |
| Injection, cangrelor HCPCS C9460 | $2,048.01 | $3,150.78 | $13.21 – $3,466.75 | 44 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $44.20 | $68.00 | $46.59 – $1,972.54 | 49 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,366.95 | $8,256.85 | $46.71 – $2,444.40 | 44 |
| Injection for bladder x-ray CPT 51600 | $1,574.95 | $2,423.00 | $35.86 – $1,533.30 | 50 |
| Injection for ureter x-ray CPT 50690 | $13,008.97 | $20,013.80 | $58.09 – $22,652.36 | 49 |
| Injection, fulvestrant HCPCS J9395 | $332.80 | $512.00 | $237.40 – $488.60 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $7,275.92 | $11,193.72 | $8.32 – $12,275.90 | 44 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,269.45 | $1,953.00 | $4.30 – $2,275.00 | 44 |
| Injection, renflexis HCPCS Q5104 | $1,232.06 | $1,895.48 | $17.69 – $876.75 | 44 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $48,298.04 | $74,304.68 | $1,081.53 – $82,504.39 | 50 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $51,110.27 | $78,631.19 | $466.63 – $4,536.18 | 50 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $906.39 | $1,394.45 | $83.99 – $4,536.18 | 50 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $31.20 | $48.00 | $31.87 – $1,972.54 | 49 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $29.25 | $45.00 | $33.37 – $1,972.54 | 49 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $33.15 | $51.00 | $38.05 – $1,972.54 | 49 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $229.45 | $353.00 | $30.95 – $300.90 | 50 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $329.55 | $507.00 | $140.61 – $1,366.89 | 50 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $174.20 | $268.00 | $47.60 – $462.70 | 50 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $19.47 | $29.95 | $5.12 – $5.12 | 1 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $3,406.00 | $5,240.00 | $3.59 – $3,626.00 | 44 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $23.40 | $36.00 | $22.83 – $1,289.32 | 49 |
| Inj intralesional > 7 lsns CPT 11901 | $180.05 | $277.00 | $132.63 – $787.09 | 47 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $14,458.37 | $22,243.65 | $21.25 – $10,269.00 | 44 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $115.93 | $178.35 | $41.29 – $41.29 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $286.91 | $441.40 | $4.59 – $248.50 | 44 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $47,928.89 | $73,736.76 | $52.69 – $82,504.39 | 50 |
| Inj multihance HCPCS A9577 | $94.51 | $145.40 | $14.80 – $14.80 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $4,814.58 | $7,407.05 | $83.02 – $13,433.32 | 50 |
| Inj ogivri 10 mg HCPCS Q5114 | $4,273.51 | $6,574.63 | $23.62 – $6,554.73 | 44 |
| Inj proc myelogram lumbar CPT 62284 | $6,073.17 | $9,343.34 | $68.09 – $2,760.69 | 12 |
| Inj progesterone per 50 mg HCPCS J2675 | $9.75 | $15.00 | $1.07 – $1.07 | 1 |
| Inj retro urethrocysto CPT 51610 | $1,013.15 | $1,558.70 | $53.92 – $1,533.30 | 50 |
| Inj scleros sol sgl vein CPT 36470 | $2,920.86 | $4,493.63 | $32.38 – $2,612.34 | 50 |
| Inj testosterone cypionate HCPCS J1071 | $14.75 | $22.69 | $2.50 – $2.50 | 1 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,963.00 | $3,020.00 | $59.09 – $59.09 | 1 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $3,144.05 | $4,837.00 | $3.47 – $8,106.00 | 44 |
| Inj w/fluor eval cv device CPT 36598 | $1,442.58 | $2,219.35 | $29.21 – $1,366.89 | 50 |
| Ins cath ren art 1st bi CPT 36252 | $18,663.18 | $28,712.58 | $296.97 – $20,290.72 | 50 |
| Ins cerv dilator (sep proc) CPT 59200 | $290.55 | $447.00 | $57.17 – $1,958.28 | 49 |
| Insert cath pleura with image CPT 32557 | $21,554.48 | $33,160.74 | $282.67 – $20,290.72 | 50 |
| Insert intrauterine device iud CPT 58300 | $21,420.20 | $32,954.16 | $166.75 – $4,749.44 | 38 |
| Insertion catheter bladder non indwelling CPT 51701 | $30,051.71 | $46,233.40 | $21.11 – $855.03 | 50 |
| Insertion catheter bladder temporary simple CPT 51702 | $26,377.97 | $40,581.50 | $21.68 – $855.03 | 50 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $10,119.49 | $15,568.44 | $172.51 – $23,008.51 | 50 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $59,342.80 | $91,296.61 | $430.27 – $67,166.96 | 32 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $31,256.09 | $48,086.30 | $430.27 – $67,166.96 | 50 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $74,503.69 | $114,621.06 | $377.29 – $142,942.41 | 50 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,125.85 | $4,809.00 | $82.44 – $10,115.86 | 49 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $63,856.93 | $98,241.43 | $753.14 – $201,712.19 | 50 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $28,589.68 | $43,984.13 | $309.70 – $53,179.57 | 50 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $21,812.39 | $33,557.53 | $72.17 – $53,179.57 | 50 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $13,590.67 | $20,908.72 | $282.67 – $20,290.72 | 50 |
| Insert spine infusion device 62360 CPT 62360 | $56,216.57 | $86,487.03 | $285.39 – $115,825.47 | 50 |
| Insert swan-ganz cath CPT 93503 | $243.75 | $375.00 | $1,040.62 – $6,175.42 | 47 |
| Insert uro/ves nck sphincter CPT 53445 | $74,106.50 | $114,010.00 | $646.28 – $133,190.93 | 50 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $10,348.90 | $15,921.38 | $80.26 – $18,666.40 | 51 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $10,348.90 | $15,921.38 | $108.81 – $1,094.86 | 51 |
| Ins pm gen w/exist mlt leads CPT 33221 | $39,267.46 | $60,411.48 | $298.65 – $123,780.14 | 50 |
| Ins pq tunnld ip cath w/img CPT 49418 | $9,751.06 | $15,001.63 | $166.79 – $23,008.51 | 50 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $68,282.73 | $105,050.36 | $296.18 – $198,298.81 | 50 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $68,247.32 | $104,995.87 | $395.66 – $123,780.14 | 50 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $47,352.43 | $72,849.89 | $250.82 – $124,669.66 | 50 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $7,350.20 | $11,308.00 | $271.18 – $184,325.97 | 49 |
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.