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 |
|---|---|---|---|---|
| Instillation anticarcinogenic agent bladder CPT 51720 | $23,367.58 | $35,950.13 | $36.44 – $22,652.36 | 50 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $8,323.63 | $12,805.59 | $219.18 – $20,290.72 | 50 |
| Insulin total CPT 83525 | $130.00 | $200.00 | $10.29 – $41.06 | 54 |
| Interrog evl pm/ldls pm ip CPT 93288 | $276.90 | $426.00 | $24.67 – $239.83 | 50 |
| Intranasal biopsy 30100 CPT 30100 | $53.30 | $82.00 | $1,025.70 – $6,086.90 | 47 |
| Intrapul surf admin endo tube CPT 94610 | $39.00 | $60.00 | $144.76 – $859.05 | 47 |
| Intrinsic factor antibody CPT 86340 | $270.40 | $416.00 | $13.57 – $54.17 | 54 |
| Intro cath dialysis circuit CPT 36901 | $4,926.43 | $7,579.13 | $141.26 – $10,115.86 | 50 |
| Intro cath dialysis circuit w/pta CPT 36902 | $16,543.98 | $25,452.27 | $201.60 – $36,575.29 | 50 |
| Intro catheter aorta CPT 36200 | $20,865.25 | $32,100.38 | $118.43 – $20,290.72 | 50 |
| Intro cath svc/ivc CPT 36010 | $7,419.88 | $11,415.20 | $91.64 – $20,290.72 | 50 |
| Intro long gi tube w/mult fluo CPT 74340 | $154.05 | $237.00 | $199.16 – $199.16 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $101,048.09 | $155,458.60 | $76.25 – $117,803.41 | 50 |
| Intubation endotracheal emergency procedure CPT 31500 | $59,342.80 | $91,296.61 | $127.42 – $67,166.96 | 50 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $1,741.35 | $2,679.00 | $0.02 – $0.02 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $210.01 | $323.10 | $7.70 – $7.70 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $279.10 | $429.38 | $2.60 – $2.60 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $15,016.03 | $23,101.58 | $123.53 – $32,096.75 | 44 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $35.75 | $55.00 | $4.76 – $4.76 | 1 |
| Iron CPT 83540 | $78.65 | $121.00 | $5.82 – $23.24 | 54 |
| Iron binding capacity CPT 83550 | $76.70 | $118.00 | $7.87 – $31.39 | 54 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $31.81 | $48.94 | $11.95 – $63.11 | 44 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $211.09 | $324.75 | $37.00 – $37.00 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $179.40 | $276.00 | $24.69 – $240.01 | 50 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $134.55 | $207.00 | $39.00 – $379.10 | 50 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $7,535.29 | $11,592.75 | $55.16 – $2,900.10 | 44 |
| Ivc venogram s&i CPT 75825 | $4,737.85 | $7,289.00 | $331.15 – $20,290.72 | 50 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $314.60 | $484.00 | $47.60 – $462.70 | 50 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $273.65 | $421.00 | $30.95 – $300.90 | 50 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $577.20 | $888.00 | $140.61 – $1,366.89 | 50 |
| Ivp w/nephrotomography CPT 74415 | $1,194.05 | $1,837.00 | $115.95 – $688.10 | 48 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $759.85 | $1,169.00 | $92.43 – $1,127.17 | 50 |
| Jak2 targeted sequence analysis CPT 81279 | $312.65 | $481.00 | $166.68 – $665.24 | 53 |
| John cunningham antibody CPT 86711 | $1,181.70 | $1,818.00 | $15.20 – $60.67 | 54 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $113.75 | $175.00 | $7.35 – $29.35 | 54 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $21.22 | $32.65 | $0.23 – $2.45 | 44 |
| Kidney imag w/bld flow multi CPT 78709 | $4,008.55 | $6,167.00 | $222.79 – $3,489.27 | 50 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $3,025.75 | $4,655.00 | $140.52 – $3,489.27 | 51 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,043.25 | $1,605.00 | $69.11 – $671.83 | 50 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $22,474.97 | $34,576.87 | $472.20 – $21,026.66 | 50 |
| Knee arthroscopy/surgery CPT 29879 | $21,984.06 | $33,821.63 | $573.37 – $46,630.14 | 50 |
| Knee arthroscopy/surgery CPT 29880 | $16,745.84 | $25,762.83 | $488.78 – $21,026.66 | 50 |
| Knee arthroscopy/surgery CPT 29882 | $48,944.77 | $75,299.65 | $592.01 – $21,026.66 | 50 |
| Knee arthroscopy/surgery CPT 29888 | $80,006.91 | $123,087.55 | $825.24 – $46,630.14 | 50 |
| Knee MRI (with and without contrast) CPT 73723 | $4,428.45 | $6,813.00 | $230.63 – $2,241.93 | 50 |
| Knee MRI (with contrast) CPT 73722 | $3,494.40 | $5,376.00 | $518.22 – $5,037.63 | 50 |
| Knee MRI (without contrast) CPT 73721 | $3,494.40 | $5,376.00 | $157.73 – $1,533.30 | 50 |
| Knee X-ray CPT 73564 | $828.10 | $1,274.00 | $68.26 – $671.83 | 50 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.15 | $11.00 | $1.32 – $1.32 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $53.23 | $81.90 | $17.00 – $17.00 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $100.10 | $154.00 | $5.44 – $21.70 | 54 |
| Lactated ringers intravenous solution HCPCS J7120 | $130.00 | $200.00 | $4.18 – $4.18 | 1 |
| Lactic acid CPT 83605 | $257.40 | $396.00 | $10.41 – $41.56 | 54 |
| Lactoferrin fecal qualitative CPT 83630 | $237.90 | $366.00 | $17.73 – $70.76 | 54 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $89,833.69 | $138,205.68 | $218.00 – $174,369.56 | 50 |
| Lam facetec & foramot crv CPT 63045 | $36,495.48 | $56,146.90 | $1,158.99 – $46,630.14 | 50 |
| Lam facetec & foramot lumbar CPT 63047 | $27,600.33 | $42,462.05 | $986.69 – $46,630.14 | 50 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $119,389.02 | $183,675.42 | $194.27 – $174,369.56 | 50 |
| Laminotomy single lumbar CPT 63042 | $34,538.67 | $53,136.41 | $1,134.38 – $46,630.14 | 50 |
| Laparo cholecystectomy/explr CPT 47564 | $37,953.43 | $58,389.90 | $993.85 – $68,309.83 | 50 |
| Laparo cholecystectomy/graph CPT 47563 | $20,898.31 | $32,151.25 | $640.07 – $38,849.99 | 50 |
| Laparo partial nephrectomy CPT 50543 | $46,695.27 | $71,838.88 | $1,257.94 – $68,309.83 | 50 |
| Laparoscopy adrenalectomy CPT 60650 | $35,032.19 | $53,895.67 | $306.65 – $22,967.38 | 50 |
| Laparoscopy aspiration CPT 49322 | $20,147.82 | $30,996.65 | $332.24 – $38,849.99 | 50 |
| Laparoscopy biopsy CPT 49321 | $20,576.29 | $31,655.83 | $307.08 – $38,849.99 | 50 |
| Laparoscopy excise lesions CPT 58662 | $24,457.37 | $37,626.72 | $608.84 – $38,849.99 | 49 |
| Laparoscopy fundoplasty CPT 43280 | $31,288.95 | $48,136.84 | $952.50 – $68,309.83 | 50 |
| Laparoscopy lymphadenectomy CPT 38571 | $54,666.40 | $84,102.16 | $563.48 – $68,309.83 | 50 |
| Laparoscopy lymph node biop CPT 38570 | $42,558.25 | $65,474.23 | $450.23 – $68,309.83 | 50 |
| Laparoscopy remove adnexa CPT 58661 | $23,446.68 | $36,071.82 | $553.57 – $38,849.99 | 50 |
| Laparoscopy splenectomy CPT 38120 | $28,840.49 | $44,369.98 | $935.31 – $68,309.83 | 50 |
| Laparoscopy surg colpopexy CPT 57425 | $44,917.00 | $69,103.07 | $812.45 – $68,309.83 | 50 |
| Laparo urethral suspension CPT 51990 | $44,405.54 | $68,316.21 | $632.63 – $68,309.83 | 50 |
| Lap enterolysis CPT 44180 | $29,247.99 | $44,996.91 | $812.21 – $38,849.99 | 50 |
| Lap ing hernia repair init CPT 49650 | $24,563.59 | $37,790.14 | $392.72 – $38,849.99 | 50 |
| Lap ing hernia repair recur CPT 49651 | $24,917.82 | $38,335.11 | $510.02 – $38,849.99 | 50 |
| Lap paraesophag hern repair CPT 43281 | $33,171.76 | $51,033.47 | $1,346.98 – $68,309.83 | 50 |
| Laps surg prst8ect rpbic rad CPT 55866 | $46,820.65 | $72,031.77 | $1,024.25 – $68,309.83 | 50 |
| Laps surg prst8ect smpl stot CPT 55867 | $39,622.84 | $60,958.22 | $895.01 – $68,309.83 | 50 |
| Laser surgery of prostate CPT 52648 | $18,127.72 | $27,888.80 | $495.81 – $34,456.13 | 50 |
| Lead capillary CPT 83655 | $126.75 | $195.00 | $10.90 – $43.50 | 54 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,234.35 | $1,899.00 | $157.73 – $1,533.30 | 50 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $280.12 | $430.95 | $13.44 – $13.44 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $4,411.76 | $6,787.33 | $116.29 – $1,631.91 | 44 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $45.50 | $70.00 | $4.50 – $4.50 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $227.50 | $350.00 | $11.93 – $47.59 | 54 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $19.50 | $30.00 | $3.33 – $3.33 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $22.75 | $35.00 | $40.00 – $70.00 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $65.65 | $101.00 | $13.22 – $52.77 | 51 |
| Lig/band angioaccess av fistula CPT 37607 | $23,815.17 | $36,638.73 | $325.58 – $20,290.72 | 50 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $45.82 | $70.50 | $17.70 – $17.70 | 1 |
| Lipase CPT 83690 | $114.40 | $176.00 | $6.20 – $24.75 | 54 |
| Lipoprotein blood quant CPT 83704 | $136.50 | $210.00 | $30.77 – $122.81 | 54 |
| Lipoprotein direct measurement hdl CPT 83718 | $111.15 | $171.00 | $7.37 – $29.42 | 51 |
| Lipoprotein direct measurement ldl CPT 83721 | $111.15 | $171.00 | $9.45 – $37.72 | 54 |
| Lithium therapeutic drug level CPT 80178 | $159.90 | $246.00 | $5.95 – $23.74 | 54 |
| Liver elastography 91200 CPT 91200 | $445.25 | $685.00 | $19.25 – $826.91 | 49 |
| Liver Function Test CPT 80076 | $183.95 | $283.00 | $7.35 – $29.35 | 54 |
| Liver imaging CPT 78201 | $86,489.96 | $133,061.48 | $128.66 – $4,611.45 | 51 |
| Liver imag w/vasclr flow CPT 78202 | $1,658.15 | $2,551.00 | $321.91 – $4,611.45 | 48 |
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.