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 |
|---|---|---|---|---|
| Liver/spleen imag static only CPT 78215 | $1,214.85 | $1,869.00 | $131.77 – $2,569.04 | 50 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $934.05 | $1,437.00 | $208.52 – $1,568.32 | 48 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $55.64 | $85.60 | $2.24 – $2.24 | 1 |
| Low back disk surgery CPT 63030 | $31,367.87 | $48,258.26 | $826.49 – $46,630.14 | 50 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,093.00 | $3,220.00 | $115.95 – $1,127.17 | 50 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,963.00 | $3,020.00 | $230.63 – $2,241.93 | 50 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,834.30 | $2,822.00 | $69.11 – $671.83 | 50 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,075.80 | $4,732.00 | $230.63 – $2,241.93 | 50 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,332.20 | $3,588.00 | $158.56 – $2,241.93 | 50 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,332.20 | $3,588.00 | $157.73 – $1,533.30 | 50 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $328.25 | $505.00 | $69.11 – $671.83 | 50 |
| Lumbar diskogram s&i CPT 72295 | $1,786.85 | $2,749.00 | $69.24 – $12,548.69 | 50 |
| Lung Function Test (Spirometry) CPT 94010 | $466.70 | $718.00 | $133.38 – $1,387.59 | 50 |
| Lung perfusion imaging CPT 78580 | $1,030.25 | $1,585.00 | $148.71 – $2,569.04 | 50 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $13,674.05 | $21,037.00 | $139.99 – $28,858.20 | 44 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $6,825.32 | $10,500.50 | $28.22 – $14,686.00 | 44 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $542.10 | $834.00 | $171.33 – $886.13 | 49 |
| Lymphatics/lymph node imaging CPT 78195 | $28,053.83 | $43,159.74 | $218.52 – $3,489.27 | 51 |
| Lysis penil circumic lesion CPT 54162 | $9,947.25 | $15,303.46 | $172.10 – $13,433.32 | 50 |
| Macroscopic exam arthropod CPT 87168 | $18.20 | $28.00 | $3.84 – $15.34 | 54 |
| Macroscopic exam parasite CPT 87169 | $18.20 | $28.00 | $3.88 – $15.48 | 54 |
| Magnesium CPT 83735 | $192.40 | $296.00 | $6.03 – $24.07 | 54 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $50.37 | $77.50 | $1.70 – $1.70 | 1 |
| Male sling procedure CPT 53440 | $37,985.92 | $58,439.88 | $641.23 – $84,784.27 | 50 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $137.80 | $212.00 | $87.95 – $855.03 | 49 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $228.80 | $352.00 | $87.95 – $855.03 | 49 |
| Mapping io sentinel lymph node CPT 38900 | $28,796.99 | $44,303.06 | $117.14 – $42,671.27 | 50 |
| Mastectomy partial CPT 19301 | $529.10 | $814.00 | $2,588.36 – $15,360.32 | 47 |
| Mastoids complete CPT 70130 | $542.75 | $835.00 | $38.17 – $671.83 | 50 |
| Mast simple complete CPT 19303 | $767.65 | $1,181.00 | $4,389.59 – $26,049.51 | 47 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $40.95 | $63.00 | $13.01 – $51.94 | 54 |
| Mayo aathr protein s free CPT 85306 | $239.20 | $368.00 | $13.79 – $55.03 | 54 |
| Mayo activated protein c resistance assay CPT 85307 | $102.70 | $158.00 | $13.79 – $55.03 | 54 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $117.00 | $180.00 | $34.71 – $138.54 | 54 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $42.25 | $65.00 | $13.30 – $53.09 | 54 |
| Mayo alpha 1 antitrypsin CPT 82103 | $174.20 | $268.00 | $12.10 – $48.28 | 54 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $50.05 | $77.00 | $13.57 – $54.17 | 54 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $269.75 | $415.00 | $109.47 – $436.89 | 54 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $343.20 | $528.00 | $82.49 – $329.24 | 54 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $314.60 | $484.00 | $123.30 – $492.10 | 52 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,065.05 | $3,177.00 | $1,044.00 – $4,166.72 | 54 |
| Mayo androstenedione CPT 82157 | $200.85 | $309.00 | $26.35 – $105.17 | 54 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $151.45 | $233.00 | $13.14 – $52.44 | 54 |
| Mayo antithrombin iii antigen CPT 85301 | $58.50 | $90.00 | $9.73 – $38.83 | 54 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $78.00 | $120.00 | $13.55 – $54.06 | 54 |
| Mayo avwpr vw factor activity CPT 85397 | $234.65 | $361.00 | $27.77 – $110.85 | 54 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $44.85 | $69.00 | $31.58 – $126.04 | 53 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $89.70 | $138.00 | $9.16 – $36.57 | 54 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $300.30 | $462.00 | $130.36 – $520.27 | 54 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $68.90 | $106.00 | $193.16 – $770.92 | 54 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $51.35 | $79.00 | $11.61 – $46.34 | 54 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $44.20 | $68.00 | $11.87 – $47.38 | 54 |
| Mayo brcmg brucella antibody igm CPT 86622 | $109.20 | $168.00 | $8.04 – $32.08 | 52 |
| Mayo c1 esterase inhibitor CPT 83883 | $51.35 | $79.00 | $12.24 – $48.85 | 54 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $232.70 | $358.00 | $15.18 – $60.60 | 54 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $55.90 | $86.00 | $24.10 – $96.19 | 54 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $189.80 | $292.00 | $110.00 – $439.01 | 54 |
| Mayo ceruloplasmin CPT 82390 | $131.95 | $203.00 | $9.67 – $38.58 | 54 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $166.40 | $256.00 | $12.71 – $50.72 | 54 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $163.80 | $252.00 | $11.59 – $46.26 | 54 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $157.30 | $242.00 | $10.64 – $42.46 | 52 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $173.55 | $267.00 | $104.84 – $418.43 | 54 |
| Mayo chromium CPT 82495 | $50.70 | $78.00 | $18.25 – $72.85 | 54 |
| Mayo coccidioides antibody CPT 86635 | $53.30 | $82.00 | $10.32 – $41.20 | 54 |
| Mayo cocou cortisone urine CPT 82542 | $438.75 | $675.00 | $21.68 – $86.53 | 54 |
| Mayo cortisol free CPT 82530 | $215.80 | $332.00 | $15.04 – $60.02 | 54 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $62.40 | $96.00 | $37.92 – $151.33 | 53 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $99.45 | $153.00 | $10.91 – $43.54 | 54 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $187.85 | $289.00 | $11.93 – $47.59 | 54 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $263.90 | $406.00 | $22.74 – $90.77 | 54 |
| Mayo dihydrotestosterone CPT 82642 | $48.75 | $75.00 | $26.35 – $105.17 | 54 |
| Mayo efpo chloride stool CPT 82438 | $78.00 | $120.00 | $4.50 – $17.96 | 54 |
| Mayo estriol CPT 82677 | $66.30 | $102.00 | $21.76 – $86.85 | 54 |
| Mayo estrone CPT 82679 | $244.40 | $376.00 | $22.46 – $89.62 | 54 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $41.60 | $64.00 | $14.71 – $58.69 | 54 |
| Mayo everolimus therapeutic drug level CPT 80169 | $81.25 | $125.00 | $12.36 – $49.32 | 54 |
| Mayo factor ii CPT 85210 | $257.40 | $396.00 | $11.68 – $46.62 | 52 |
| Mayo factor v CPT 85220 | $122.20 | $188.00 | $8.83 – $43.29 | 53 |
| Mayo factor vii CPT 85230 | $210.60 | $324.00 | $16.11 – $64.30 | 54 |
| Mayo factor viii vw factor antigen CPT 85246 | $110.50 | $170.00 | $20.65 – $82.40 | 54 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $68.90 | $106.00 | $20.65 – $82.40 | 54 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $115.70 | $178.00 | $20.65 – $82.40 | 54 |
| Mayo factor x CPT 85260 | $213.20 | $328.00 | $16.11 – $64.30 | 52 |
| Mayo factor xi CPT 85270 | $210.60 | $324.00 | $16.11 – $64.30 | 54 |
| Mayo fat/lipids feces quantitative CPT 82710 | $74.75 | $115.00 | $15.12 – $60.35 | 51 |
| Mayo fbl culture fungi blood CPT 87103 | $136.50 | $210.00 | $18.41 – $73.49 | 54 |
| Mayo ffspg allergen clam igg CPT 86001 | $101.40 | $156.00 | $7.04 – $28.09 | 54 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $61.10 | $94.00 | $19.50 – $77.84 | 54 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,650.35 | $2,539.00 | $455.49 – $455.49 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $35.10 | $54.00 | $4.28 – $17.06 | 51 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $193.70 | $298.00 | $31.58 – $126.04 | 54 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $263.25 | $405.00 | $31.58 – $126.04 | 54 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $49.40 | $76.00 | $12.41 – $49.53 | 54 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $44.20 | $68.00 | $23.23 – $92.71 | 54 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $109.20 | $168.00 | $8.00 – $31.93 | 54 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $109.20 | $168.00 | $12.17 – $48.56 | 54 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $165.10 | $254.00 | $24.45 – $97.59 | 54 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $307.45 | $473.00 | $15.54 – $62.03 | 54 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $39.00 | $60.00 | $13.49 – $53.84 | 54 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $240.50 | $370.00 | $18.73 – $74.75 | 54 |
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.