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 |
|---|---|---|---|---|
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $3,839.33 | $5,906.66 | $100.17 – $3,489.27 | 51 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $5,469.10 | $8,414.00 | $204.96 – $3,489.27 | 51 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,532.05 | $2,357.00 | $159.17 – $2,569.04 | 51 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $8,182.85 | $12,589.00 | $43.01 – $1,499.49 | 51 |
| Nras gene variants exon 2&3 CPT 81311 | $663.00 | $1,020.00 | $266.21 – $1,062.48 | 54 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $52,419.25 | $80,645.00 | $828.48 – $11,490.46 | 51 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $35,536.47 | $54,671.50 | $493.14 – $8,894.73 | 39 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $28,516.15 | $43,871.00 | $262.33 – $2,478.60 | 39 |
| Nuclear rx intra-arterial CPT 79445 | $82,105.97 | $126,316.88 | $154.25 – $1,499.49 | 51 |
| Nuclear rx IV admin CPT 79101 | $109,305.95 | $168,163.00 | $44.98 – $1,499.49 | 51 |
| Nuclear Stress Test (Heart) CPT 78452 | $7,502.30 | $11,542.00 | $299.09 – $8,319.73 | 51 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $15,364.57 | $23,637.80 | $53.99 – $27,461.00 | 44 |
| Observation direct referral from physician office for admission HCPCS G0379 | $99.45 | $153.00 | $393.69 – $3,827.03 | 44 |
| Observation per hour HCPCS G0378 | $55.25 | $85.00 | $56.43 – $101.57 | 5 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $35,293.52 | $54,297.73 | $39.33 – $62,685.00 | 44 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $64.60 | $99.38 | $3.12 – $3.12 | 1 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $7,509.29 | $11,552.75 | $124.31 – $7,427.00 | 44 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $65.00 | $100.00 | $31.00 – $31.00 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,532.66 | $3,896.40 | $27.60 – $4,258.80 | 44 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.30 – $0.30 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | $26,270.88 | $40,416.74 | $401.45 – $25,161.48 | 50 |
| Opn impltj nea sacral nerve CPT 64581 | $58,494.47 | $89,991.49 | $557.26 – $124,669.66 | 50 |
| Orchiectomy partial CPT 54522 | $18,115.43 | $27,869.89 | $502.38 – $23,008.51 | 50 |
| Orchiopexy ingun/scrot appr CPT 54640 | $18,566.14 | $28,563.30 | $370.95 – $23,008.51 | 50 |
| Organic acids total quant ea spec CPT 83918 | $133.25 | $205.00 | $21.24 – $84.77 | 54 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $50.70 | $78.00 | $16.07 – $16.07 | 1 |
| Orthopantogram CPT 70355 | $167.05 | $257.00 | $7.95 – $559.25 | 50 |
| Oscillation chest wall mechanical per session CPT 94669 | $386.75 | $595.00 | $144.76 – $1,407.20 | 44 |
| Osmolality blood CPT 83930 | $100.10 | $154.00 | $5.95 – $23.74 | 54 |
| Osmolality urine CPT 83935 | $100.10 | $154.00 | $6.14 – $24.50 | 54 |
| Ot evaluation high complexity patient/family CPT 97167 | $224.25 | $345.00 | $88.39 – $336.93 | 49 |
| Ot evaluation low complexity patient/family CPT 97165 | $224.25 | $345.00 | $88.39 – $336.93 | 49 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $224.25 | $345.00 | $88.39 – $336.93 | 49 |
| Oth resp proc, group HCPCS G0239 | $81.90 | $126.00 | $24.69 – $240.01 | 44 |
| Oth resp proc, indiv HCPCS G0238 | $59.80 | $92.00 | $19.12 – $185.84 | 44 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $82.55 | $127.00 | $43.64 – $163.22 | 49 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $102.05 | $157.00 | $40.07 – $151.12 | 47 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $120.25 | $185.00 | $23.90 – $93.10 | 49 |
| Ot re-evaluation patient/family CPT 97168 | $224.25 | $345.00 | $60.97 – $228.06 | 49 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $137.15 | $211.00 | $30.29 – $116.02 | 49 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $45.50 | $70.00 | $17.71 – $64.84 | 49 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $104.65 | $161.00 | $18.96 – $69.43 | 49 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $127.40 | $196.00 | $25.31 – $97.56 | 49 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $115.05 | $177.00 | $28.15 – $109.77 | 49 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $123.50 | $190.00 | $28.08 – $107.90 | 49 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $39.00 | $60.00 | $2.38 – $2.38 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $148.28 | $228.13 | $57.00 – $57.00 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,575.40 | $3,962.15 | $3.97 – $4,242.00 | 44 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $12,372.33 | $19,034.35 | $115.09 – $6,039.25 | 44 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $7.15 | $11.00 | $3.21 – $3.21 | 1 |
| Papaverin hcl injection HCPCS J2440 | $134.58 | $207.05 | $63.75 – $63.75 | 1 |
| Parathormone (pth) intact CPT 83970 | $250.90 | $386.00 | $37.15 – $148.28 | 54 |
| Parathyroid planar imaging CPT 78070 | $1,042.60 | $1,604.00 | $189.95 – $2,569.04 | 50 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,443.65 | $2,221.00 | $216.25 – $2,569.04 | 51 |
| Paricalcitol HCPCS J2501 | $49.24 | $75.75 | $5.70 – $5.70 | 1 |
| Partial removal of thyroid CPT 60220 | $21,661.84 | $33,325.91 | $598.60 – $38,849.99 | 50 |
| Passy muir valve metal trach HCPCS L8501 | $240.50 | $370.00 | $145.07 – $520.80 | 42 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $199.55 | $307.00 | $132.63 – $1,289.32 | 50 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $12,515.08 | $19,253.97 | $84.07 – $2,452.80 | 44 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $8,141.25 | $12,525.00 | $89.69 – $5,713.68 | 44 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,070.63 | $6,262.51 | $52.47 – $4,355.82 | 44 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,080.95 | $1,663.00 | $115.95 – $1,127.17 | 50 |
| Pelvic CT scan (with contrast) CPT 72193 | $984.75 | $1,515.00 | $115.95 – $1,127.17 | 50 |
| Pelvic CT scan (without contrast) CPT 72192 | $984.75 | $1,515.00 | $69.11 – $671.83 | 50 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,313.05 | $5,097.00 | $230.63 – $2,241.93 | 50 |
| Pelvic MRI (with contrast) CPT 72196 | $2,579.85 | $3,969.00 | $159.69 – $2,241.93 | 50 |
| Pelvic MRI (without contrast) CPT 72195 | $2,579.85 | $3,969.00 | $157.73 – $1,533.30 | 50 |
| Pelvic Ultrasound (complete) CPT 76856 | $830.70 | $1,278.00 | $69.11 – $671.83 | 50 |
| Pelvic Ultrasound (limited) CPT 76857 | $347.75 | $535.00 | $69.11 – $671.83 | 50 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $9,978.80 | $15,352.00 | $40.43 – $20,496.00 | 44 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $251.55 | $387.00 | $2.67 – $130.55 | 44 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,703.48 | $4,159.20 | $20.77 – $615.30 | 44 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $86.16 | $132.55 | $13.50 – $13.50 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $292.11 | $449.40 | $24.31 – $179.58 | 40 |
| Perc cryo ablate renal tum CPT 50593 | $42,229.42 | $64,968.34 | $379.88 – $68,309.83 | 49 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $21,434.40 | $32,976.00 | $12,118.41 – $117,803.41 | 49 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $20,140.90 | $30,986.00 | $7,631.47 – $74,185.64 | 49 |
| Perc d-e cor stent ather s HCPCS C9602 | $20,140.90 | $30,986.00 | $12,118.41 – $117,803.41 | 49 |
| Perc drug-el cor stent sing HCPCS C9600 | $14,504.75 | $22,315.00 | $7,631.47 – $74,185.64 | 49 |
| Perc rf ablate renal tumor CPT 50592 | $44,569.87 | $68,569.03 | $283.09 – $38,849.99 | 50 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,218.76 | $1,875.02 | $140.08 – $140.08 | 1 |
| Peripheral vascular rehab CPT 93668 | $147.55 | $227.00 | $39.00 – $379.10 | 49 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $60,357.73 | $92,858.04 | $948.83 – $60,833.68 | 50 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $11,201.92 | $17,233.72 | $11.23 – $24,828.30 | 44 |
| Pet CT skull-mid thgh initial CPT 78815 | $9,107.15 | $14,011.00 | $10.36 – $9,189.19 | 51 |
| Pet CT whole body initial CPT 78816 | $9,007.05 | $13,857.00 | $10.36 – $9,189.19 | 51 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,482.35 | $3,819.00 | $945.29 – $9,189.19 | 50 |
| Pet image full body CPT 78813 | $6,882.85 | $10,589.00 | $945.29 – $5,609.72 | 48 |
| Pet image w/ct lmtd CPT 78814 | $7,299.50 | $11,230.00 | $945.29 – $9,189.19 | 50 |
| Ph body fluid CPT 83986 | $68.90 | $106.00 | $3.22 – $12.86 | 54 |
| Phencyclidine (pcp) CPT 83992 | $55.90 | $86.00 | $47.56 – $117.39 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $123.17 | $189.50 | $46.51 – $46.51 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $213.20 | $328.00 | $13.77 – $54.96 | 54 |
| Phentolaine mesylate inj HCPCS J2760 | $1,364.35 | $2,099.00 | $169.92 – $1,527.79 | 44 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $7.15 | $11.00 | $0.10 – $0.10 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $215.15 | $331.00 | $11.93 – $47.59 | 54 |
| Phlebotomy therapeutic CPT 99195 | $151.45 | $233.00 | $87.95 – $855.03 | 50 |
| Phosphorus CPT 84100 | $100.10 | $154.00 | $4.27 – $17.03 | 54 |
| Phosphorus 24 hour urine CPT 84105 | $104.00 | $160.00 | $5.20 – $20.76 | 54 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $80.37 | $123.65 | $4.83 – $4.83 | 1 |
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.