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 |
|---|---|---|---|---|
| Smear fluorescent and/or acid fast stain CPT 87206 | $75.40 | $116.00 | $4.85 – $19.36 | 54 |
| Smear gram stain CPT 87205 | $81.25 | $125.00 | $3.84 – $15.34 | 54 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $106.60 | $164.00 | $5.39 – $21.52 | 54 |
| Smear wet mount CPT 87210 | $88.40 | $136.00 | $5.24 – $20.91 | 54 |
| Snrpn/ube3a gene CPT 81331 | $264.55 | $407.00 | $45.96 – $183.44 | 54 |
| Sodium 24 hour urine CPT 84300 | $80.60 | $124.00 | $4.55 – $18.18 | 54 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $130.00 | $200.00 | $3.88 – $3.88 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $130.00 | $200.00 | $2.35 – $2.35 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $130.00 | $200.00 | $1.21 – $1.21 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $130.00 | $200.00 | $29.00 – $29.00 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $103.35 | $159.00 | $18.55 – $18.55 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $78.65 | $121.00 | $4.33 – $17.28 | 54 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $9.36 | $14.40 | $0.58 – $2.16 | 41 |
| Special physics consult CPT 77370 | $57,831.80 | $88,972.00 | $88.85 – $863.77 | 51 |
| Special radiation treatment CPT 77470 | $41,389.40 | $63,676.00 | $32.83 – $3,550.74 | 51 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,993.27 | $6,143.50 | $70.44 – $4,536.18 | 50 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $469.30 | $722.00 | $246.68 – $2,397.98 | 50 |
| Srs linear based CPT 77372 | $36,631.40 | $56,356.00 | $790.49 – $47,331.07 | 51 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $157.30 | $242.00 | $94.20 – $371.41 | 49 |
| Staph a dna amp probe CPT 87640 | $150.15 | $231.00 | $31.58 – $126.04 | 54 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $278.20 | $428.00 | $94.82 – $347.20 | 42 |
| St evaluate speech sound production CPT 92522 | $152.10 | $234.00 | $95.88 – $378.78 | 49 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $313.95 | $483.00 | $196.99 – $764.88 | 49 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $428.35 | $659.00 | $78.15 – $305.72 | 47 |
| St evaluation swallow function CPT 92610 | $428.35 | $659.00 | $54.78 – $200.58 | 47 |
| Strep b dna amp probe CPT 87653 | $65.65 | $101.00 | $31.58 – $126.04 | 54 |
| Stress test pulmonary CPT 94618 | $454.35 | $699.00 | $87.95 – $855.03 | 50 |
| Stress tte complete CPT 93351 | $1,964.95 | $3,023.00 | $361.22 – $3,511.41 | 50 |
| St treatment speech individual CPT 92507 | $245.70 | $378.00 | $66.15 – $257.44 | 49 |
| St treatment swallow dysfunction/oral CPT 92526 | $230.75 | $355.00 | $72.86 – $282.94 | 47 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $1.41 – $1.41 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $40.75 | $62.70 | $2.88 – $2.88 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $35.75 | $55.00 | $62.90 – $62.90 | 1 |
| Surg dx exam anorectal CPT 45990 | $12,132.37 | $18,665.18 | $93.41 – $17,837.02 | 50 |
| Surgical pathology level 1 gross examination only CPT 88300 | $9,714.28 | $14,945.05 | $10.20 – $185.84 | 51 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $470.60 | $724.00 | $21.79 – $240.01 | 51 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $19,100.82 | $29,385.87 | $26.03 – $334.88 | 51 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $6,537.05 | $10,057.00 | $29.69 – $334.88 | 51 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $19,460.62 | $29,939.41 | $170.46 – $2,303.45 | 51 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $47,161.39 | $72,555.98 | $236.03 – $5,177.47 | 51 |
| Susceptibility agar dilution per agent CPT 87181 | $48.10 | $74.00 | $4.28 – $17.06 | 54 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $6.50 | $10.00 | $4.28 – $17.06 | 54 |
| Susceptibility mic per plate CPT 87186 | $126.75 | $195.00 | $7.79 – $31.07 | 54 |
| Svc venogram s&i CPT 75827 | $1,672.45 | $2,573.00 | $334.31 – $10,115.86 | 50 |
| Sweat collection by iontophoresis CPT 89230 | $202.15 | $311.00 | $6.84 – $204.43 | 47 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $38.35 | $59.00 | $3.96 – $15.80 | 54 |
| T3 (triiodothyronine) free CPT 84481 | $303.55 | $467.00 | $15.25 – $60.85 | 54 |
| T3 (triiodothyronine) total CPT 84480 | $112.45 | $173.00 | $12.76 – $50.93 | 54 |
| T4 (thyroxine) free CPT 84439 | $228.15 | $351.00 | $8.12 – $32.40 | 54 |
| T4 (thyroxine) total CPT 84436 | $40.95 | $63.00 | $6.18 – $24.68 | 54 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.87 | $7.50 | $0.26 – $0.26 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $160.55 | $247.00 | $12.36 – $49.32 | 54 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $35.75 | $55.00 | $0.32 – $0.32 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,508.00 | $2,320.00 | $683.58 – $2,728.23 | 54 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,630.20 | $2,508.00 | $2,627.64 – $10,487.20 | 54 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $930.34 | $1,431.30 | $0.16 – $315.00 | 44 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $89.05 | $137.00 | $90.00 – $359.20 | 54 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $147.55 | $227.00 | $55.78 – $222.63 | 54 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $6,486.35 | $9,979.00 | $616.53 – $3,641.12 | 49 |
| Tc-99m labeled rbc HCPCS A9560 | $487.50 | $750.00 | $170.00 – $170.00 | 1 |
| Tc-99m maa HCPCS A9540 | $714.35 | $1,099.00 | $51.00 – $51.00 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $741.65 | $1,141.00 | $96.05 – $96.05 | 1 |
| Tc-99m medronate HCPCS A9503 | $111.15 | $171.00 | $22.10 – $22.10 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $50.05 | $77.00 | $2.87 – $2.87 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $468.00 | $720.00 | $454.53 – $454.53 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,620.45 | $2,493.00 | $1,124.67 – $1,124.67 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $373.10 | $574.00 | $42.28 – $168.75 | 54 |
| T cells absolute cd 4 count CPT 86361 | $210.60 | $324.00 | $24.10 – $96.19 | 52 |
| T cells total count CPT 86359 | $217.10 | $334.00 | $33.96 – $135.53 | 54 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $6,998.55 | $10,767.00 | $146.85 – $15,196.30 | 44 |
| Telehealth original site facility fee HCPCS Q3014 | $38.35 | $59.00 | $27.59 – $49.66 | 5 |
| Telethx isodose plan cplx CPT 77307 | $14,041.30 | $21,602.00 | $117.08 – $2,406.15 | 51 |
| Temozolomide HCPCS J8700 | $66.62 | $102.50 | $17.08 – $17.08 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $16,665.05 | $25,638.54 | $130.31 – $15,044.75 | 44 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $13.00 | $20.00 | $4.66 – $4.66 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $1,144.65 | $1,761.00 | $142.74 – $1,387.59 | 50 |
| Tetanus immune globulin inj HCPCS J1670 | $2,130.89 | $3,278.30 | $368.36 – $2,019.68 | 44 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $7,462.34 | $11,480.53 | $11.60 – $13,450.50 | 44 |
| Theophylline therapeutic drug level CPT 80198 | $220.35 | $339.00 | $12.73 – $50.79 | 54 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $40.30 | $62.00 | $24.75 – $90.63 | 42 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $40.30 | $62.00 | $20.71 – $75.83 | 42 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $7.15 | $11.00 | $3.04 – $3.04 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,466.10 | $3,794.00 | $90.16 – $4,031.21 | 50 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $28,412.46 | $43,711.47 | $370.66 – $74,185.64 | 50 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $61,480.50 | $94,585.38 | $427.94 – $117,803.41 | 50 |
| Thrombin time CPT 85670 | $70.20 | $108.00 | $5.19 – $20.73 | 54 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $92.30 | $142.00 | $5.82 – $23.24 | 54 |
| Thyroglobulin antibody CPT 86800 | $227.50 | $350.00 | $14.32 – $57.15 | 54 |
| Thyroid imaging CPT 78013 | $497.90 | $766.00 | $126.36 – $2,569.04 | 50 |
| Thyroid met imaging CPT 78015 | $876.20 | $1,348.00 | $264.27 – $1,568.32 | 48 |
| Thyroid mets imag whole body CPT 78018 | $1,561.95 | $2,403.00 | $201.01 – $3,489.27 | 51 |
| Thyroid (TSH) Test CPT 84443 | $189.80 | $292.00 | $15.12 – $60.35 | 54 |
| Thyroid Ultrasound CPT 76536 | $791.70 | $1,218.00 | $69.11 – $671.83 | 50 |
| Thyroid uptake measurement CPT 78012 | $767.00 | $1,180.00 | $264.27 – $1,568.32 | 48 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $3,359.48 | $5,168.43 | $1,402.72 – $7,396.34 | 44 |
| Thyroxine binding globulin (tbg) CPT 84442 | $126.10 | $194.00 | $13.30 – $53.09 | 54 |
| Tigecycline injection HCPCS J3243 | $268.12 | $412.50 | $43.50 – $43.50 | 1 |
| Tilt table study CPT 93660 | $1,840.15 | $2,831.00 | $246.68 – $2,397.98 | 49 |
| Tissue culture placenta CPT 88235 | $360.75 | $555.00 | $135.27 – $539.88 | 54 |
| Tissue exam koh skin/hair/nails CPT 87220 | $9.75 | $15.00 | $3.84 – $15.34 | 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.