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 |
|---|---|---|---|---|
| Revision of bladder neck CPT 52500 | $15,457.73 | $23,781.13 | $327.22 – $22,652.36 | 50 |
| Revision of cervix CPT 57720 | $33,581.69 | $51,664.14 | $276.27 – $20,802.52 | 50 |
| Revision open av fistula without thromb CPT 36832 | $33,684.29 | $51,821.98 | $653.81 – $35,758.68 | 50 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | $17,254.37 | $26,545.19 | $9.16 – $22,466.80 | 50 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $20,897.92 | $32,150.64 | $281.50 – $22,466.80 | 50 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $24,560.02 | $37,784.64 | $125.33 – $22,466.80 | 50 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $12,822.25 | $19,726.54 | $196.12 – $22,466.80 | 50 |
| Rheumatoid factor quantitative CPT 86431 | $20.15 | $31.00 | $5.10 – $20.37 | 54 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $345.07 | $530.88 | $126.75 – $126.75 | 1 |
| Rho d immune globulin inj HCPCS J2790 | $166.35 | $255.93 | $140.11 – $140.11 | 1 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $580.32 | $892.80 | $162.00 – $162.00 | 1 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $6,877.90 | $10,581.38 | $20.64 – $1,091.30 | 44 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $5,831.80 | $8,972.00 | $9.03 – $4,637.50 | 44 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $48,375.00 | $74,423.08 | $321.45 – $142,942.41 | 50 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $55,577.53 | $85,503.90 | $333.87 – $201,712.19 | 50 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $41,222.63 | $63,419.43 | $308.97 – $142,942.41 | 50 |
| Rmvl icd pulse gen only CPT 33241 | $45,013.70 | $69,251.85 | $183.16 – $201,712.19 | 50 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,911.38 | $4,479.04 | $137.33 – $4,031.21 | 50 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $29,293.47 | $45,066.88 | $175.67 – $22,967.38 | 43 |
| Rmvl perm pm pulse gen CPT 33233 | $92,445.94 | $142,224.53 | $196.11 – $201,712.19 | 50 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $26,506.66 | $40,779.48 | $309.20 – $123,780.14 | 50 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $16,182.71 | $24,896.48 | $282.92 – $53,179.57 | 50 |
| Rmvl subq card rhythm mntr CPT 33286 | $35,005.62 | $53,854.80 | $71.19 – $67,166.96 | 50 |
| Rmvl tv pm lead sgl CPT 33234 | $28,589.68 | $43,984.13 | $403.18 – $53,179.57 | 50 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $5,636.81 | $8,672.01 | $7.33 – $9,625.00 | 44 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $5,382.75 | $8,281.15 | $8.04 – $8,820.00 | 44 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $40.27 | $61.95 | $7.50 – $7.50 | 1 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $827.45 | $1,273.00 | $175.27 – $2,569.04 | 50 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,710.50 | $4,170.00 | $301.02 – $8,319.73 | 50 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,074.50 | $4,730.00 | $589.80 – $9,189.19 | 50 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,854.80 | $4,392.00 | $48.70 – $10,115.86 | 49 |
| Rpl tun-cvad w subq port CPT 36582 | $12,363.29 | $19,020.44 | $244.24 – $20,290.72 | 50 |
| Rpl tun cvc wo subq port CPT 36581 | $7,162.64 | $11,019.44 | $155.07 – $20,290.72 | 50 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $30,378.24 | $46,735.76 | $669.87 – $41,602.29 | 50 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $26,503.48 | $40,774.58 | $649.02 – $38,849.99 | 50 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $27,473.80 | $42,267.38 | $498.80 – $41,602.29 | 50 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $23,592.91 | $36,296.78 | $298.65 – $23,008.51 | 50 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $23,244.42 | $35,760.65 | $414.67 – $38,849.99 | 50 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $26,627.89 | $40,965.99 | $9.43 – $22,967.38 | 45 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $19,798.70 | $30,459.54 | $554.90 – $41,602.29 | 50 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $30,706.14 | $47,240.22 | $366.87 – $39,013.00 | 50 |
| Rsv assay w/optic CPT 87807 | $59.80 | $92.00 | $11.79 – $47.06 | 54 |
| Rubella antibody igg CPT 86762 | $40.95 | $63.00 | $12.95 – $51.69 | 54 |
| Rubeola antibody igg CPT 86765 | $207.35 | $319.00 | $11.59 – $46.26 | 54 |
| Russell viper venom diluted CPT 85613 | $99.45 | $153.00 | $8.62 – $34.41 | 54 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $4,256.80 | $6,548.93 | $24.29 – $9,137.52 | 44 |
| Salivary gland function exam CPT 78232 | $879.45 | $1,353.00 | $187.38 – $1,568.32 | 48 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,297.40 | $1,996.00 | $157.73 – $1,533.30 | 50 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $980.20 | $1,508.00 | $69.11 – $671.83 | 50 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,064.70 | $1,638.00 | $157.73 – $1,533.30 | 50 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $773.50 | $1,190.00 | $69.11 – $671.83 | 50 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $378.95 | $583.00 | $69.11 – $671.83 | 50 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $475.15 | $731.00 | $69.11 – $671.83 | 50 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,645.15 | $2,531.00 | $157.73 – $1,533.30 | 50 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,109.55 | $1,707.00 | $69.11 – $671.83 | 50 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,419.60 | $2,184.00 | $69.11 – $671.83 | 50 |
| Scan proc spinal CPT 61783 | $52,747.79 | $81,150.44 | $196.76 – $112,676.43 | 50 |
| Screening Mammogram CPT 77067 | $303.55 | $467.00 | $77.15 – $357.34 | 50 |
| Sedimentation rate erythrocyte automated CPT 85652 | $67.60 | $104.00 | $2.43 – $9.70 | 54 |
| Semen analysis presence/motility CPT 89321 | $38.35 | $59.00 | $10.85 – $43.28 | 54 |
| Serpina1 gene CPT 81332 | $287.30 | $442.00 | $39.29 – $156.79 | 54 |
| Set radiation therapy field CPT 77280 | $26,517.40 | $40,796.00 | $88.85 – $863.77 | 51 |
| Set radiation therapy field CPT 77290 | $31,109.00 | $47,860.00 | $247.52 – $2,406.15 | 51 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $35.75 | $55.00 | $132.63 – $787.09 | 47 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $55.90 | $86.00 | $48.18 – $1,289.32 | 49 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $58.50 | $90.00 | $57.34 – $2,612.34 | 49 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $74.10 | $114.00 | $73.28 – $2,612.34 | 49 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $29.90 | $46.00 | $31.46 – $1,289.32 | 49 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $37.70 | $58.00 | $39.00 – $1,289.32 | 49 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $58.50 | $90.00 | $132.63 – $787.09 | 47 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $26.65 | $41.00 | $26.33 – $2,612.34 | 49 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $40.30 | $62.00 | $39.57 – $1,289.32 | 49 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $55.25 | $85.00 | $45.90 – $1,289.32 | 49 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $37,519.97 | $57,723.03 | $780.93 – $46,630.14 | 50 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $21,581.40 | $33,202.15 | $472.53 – $21,026.66 | 50 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $27,354.99 | $42,084.60 | $507.95 – $46,630.14 | 50 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $28,643.43 | $44,066.82 | $513.44 – $46,630.14 | 50 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $37,052.81 | $57,004.33 | $905.51 – $46,630.14 | 50 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,757.35 | $7,319.00 | $230.63 – $2,241.93 | 50 |
| Shoulder MRI (with contrast) CPT 73222 | $3,753.75 | $5,775.00 | $518.22 – $5,037.63 | 50 |
| Shoulder MRI (without contrast) CPT 73221 | $3,753.75 | $5,775.00 | $157.73 – $1,533.30 | 50 |
| Shoulder X-ray CPT 73030 | $613.60 | $944.00 | $49.93 – $559.25 | 50 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $248.30 | $382.00 | $52.29 – $671.83 | 50 |
| Sialography s&i CPT 70390 | $456.30 | $702.00 | $78.84 – $1,533.30 | 50 |
| Sickling rbc CPT 85660 | $78.65 | $121.00 | $4.96 – $19.79 | 54 |
| Sigmoidoscopy and biopsy CPT 45331 | $6,372.80 | $9,804.31 | $62.02 – $5,976.15 | 50 |
| Sigmoidoscopy for bleeding CPT 45334 | $6,712.10 | $10,326.31 | $99.16 – $7,689.88 | 50 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $6,919.25 | $10,645.00 | $57.90 – $5,976.15 | 50 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $7,874.75 | $12,115.00 | $102.03 – $7,689.88 | 50 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $456.95 | $703.00 | $17.55 – $379.10 | 50 |
| Sig w/tndsc balloon dilation CPT 45340 | $7,384.84 | $11,361.30 | $67.43 – $7,689.88 | 50 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $4.87 | $7.50 | $0.46 – $0.46 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $403.42 | $620.65 | $231.15 – $231.15 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,117.70 | $3,258.00 | $106.27 – $1,127.17 | 50 |
| Sinus CT scan (with contrast) CPT 70487 | $1,763.45 | $2,713.00 | $115.95 – $1,127.17 | 50 |
| Sinus CT scan (without contrast) CPT 70486 | $1,246.05 | $1,917.00 | $69.11 – $671.83 | 50 |
| Skin Biopsy CPT 11102 | $793.00 | $1,220.00 | $28.54 – $2,612.34 | 49 |
| Sleep Study (Polysomnography) CPT 95810 | $5,074.55 | $7,807.00 | $567.68 – $5,518.45 | 50 |
| Sleep study unattended CPT 95806 | $492.70 | $758.00 | $133.38 – $1,387.59 | 50 |
| Slitting of prepuce CPT 54001 | $12,529.66 | $19,276.40 | $120.44 – $13,433.32 | 50 |
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.