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 |
|---|---|---|---|---|
| Tissue transglutaminase iga CPT 86364 | $43.55 | $67.00 | $10.38 – $41.42 | 53 |
| Tlh w/t/o 250 g or less CPT 58571 | $40,402.32 | $62,157.42 | $777.80 – $68,309.83 | 50 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $63,022.06 | $96,957.02 | $1,041.56 – $68,309.83 | 50 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $250.25 | $385.00 | $4.18 – $4.18 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | $222.95 | $343.00 | $14.52 – $57.94 | 54 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,323.51 | $6,651.55 | $3.65 – $1,621.20 | 44 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $163.15 | $251.00 | $10.73 – $90.28 | 50 |
| Tomosynthesis breast screen bilateral CPT 77063 | $163.15 | $251.00 | $19.77 – $90.28 | 50 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $240.84 | $370.53 | $91.20 – $91.20 | 1 |
| Total tau CPT 84394 | $377.00 | $580.00 | $126.47 – $463.08 | 40 |
| Toxoplasma antibody igg CPT 86777 | $166.40 | $256.00 | $12.95 – $51.69 | 54 |
| Toxoplasma antibody igm CPT 86778 | $199.55 | $307.00 | $12.97 – $51.76 | 54 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,022.45 | $1,573.00 | $296.56 – $1,183.60 | 53 |
| Tpmt gene com vrnts CPT 81335 | $194.35 | $299.00 | $157.33 – $627.92 | 54 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $21,390.64 | $32,908.68 | $135.15 – $34,456.13 | 50 |
| Transcath closure of asd CPT 93580 | $14,353.30 | $22,082.00 | $12,118.41 – $117,803.41 | 49 |
| Transcatheter bx s&i CPT 75970 | $2,388.75 | $3,675.00 | $739.66 – $739.66 | 1 |
| Transferrin CPT 84466 | $149.50 | $230.00 | $11.48 – $45.83 | 54 |
| Transfusion blood/blood component(s) CPT 36430 | $3,354.65 | $5,161.00 | $40.22 – $2,835.10 | 50 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,540.23 | $3,908.05 | $48.46 – $3,999.45 | 44 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $6,196.09 | $9,532.45 | $37.21 – $6,362.16 | 44 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $15,166.96 | $23,333.78 | $261.01 – $20,802.52 | 50 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $72.80 | $112.00 | $52.90 – $855.03 | 49 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $224.25 | $345.00 | $144.76 – $1,407.20 | 49 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $15,649.06 | $24,075.48 | $323.98 – $20,802.52 | 50 |
| Treatment radiation delivery level 2 CPT 77407 | $21,756.15 | $33,471.00 | $224.18 – $2,478.60 | 51 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $68,943.21 | $106,066.47 | $94.53 – $148,228.50 | 44 |
| Treponema pallidum antibody CPT 86780 | $116.35 | $179.00 | $11.92 – $47.56 | 54 |
| Trg gene rearrangement anal CPT 81342 | $569.40 | $876.00 | $181.35 – $723.79 | 54 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $199.26 | $306.55 | $5.84 – $5.84 | 1 |
| Triglycerides CPT 84478 | $124.80 | $192.00 | $5.17 – $20.62 | 54 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $34,200.77 | $52,616.57 | $342.58 – $82,504.39 | 50 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $101,048.09 | $155,458.60 | $126.56 – $117,803.41 | 50 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $101,048.09 | $155,458.60 | $260.25 – $117,803.41 | 50 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $53,213.79 | $81,867.37 | $464.40 – $74,185.64 | 50 |
| Troponin quantitative CPT 84484 | $303.55 | $467.00 | $11.22 – $44.79 | 54 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,067.00 | $3,180.00 | $467.42 – $5,037.63 | 49 |
| Tx atrial fib pulm vein isol CPT 93656 | $17,609.15 | $27,091.00 | $17,278.84 – $167,967.97 | 49 |
| Ua w/micro/comp poc CPT 81000 | $46.15 | $71.00 | $3.62 – $14.44 | 54 |
| Ugt1a1 gene analy common variants CPT 81350 | $648.70 | $998.00 | $210.60 – $840.53 | 54 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $257.40 | $396.00 | $69.11 – $671.83 | 50 |
| Ultrasound breast complete CPT 76641 | $285.35 | $439.00 | $69.11 – $671.83 | 50 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $285.35 | $439.00 | $57.53 – $559.25 | 50 |
| Ultrasound chest CPT 76604 | $503.10 | $774.00 | $69.11 – $671.83 | 50 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $564.20 | $868.00 | $69.11 – $671.83 | 50 |
| Ultrasound encephalogram CPT 76506 | $584.35 | $899.00 | $69.11 – $671.83 | 50 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $716.95 | $1,103.00 | $69.11 – $671.83 | 50 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $652.60 | $1,004.00 | $69.11 – $671.83 | 50 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $703.30 | $1,082.00 | $315.35 – $315.35 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $546.65 | $841.00 | $289.98 – $289.98 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $665.60 | $1,024.00 | $57.53 – $559.25 | 50 |
| Ultrasound infant hips ltd without stress CPT 76886 | $377.65 | $581.00 | $57.53 – $559.25 | 50 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $1,318.85 | $2,029.00 | $48.88 – $671.83 | 50 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $342.55 | $527.00 | $35.06 – $157.94 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $220.35 | $339.00 | $17.80 – $113.09 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,190.15 | $1,831.00 | $157.73 – $1,533.30 | 50 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $220.35 | $339.00 | $69.11 – $671.83 | 50 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $627.25 | $965.00 | $69.11 – $671.83 | 50 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $342.55 | $527.00 | $69.11 – $671.83 | 50 |
| Ultrasound prostate/transrectal CPT 76872 | $366.60 | $564.00 | $69.11 – $671.83 | 50 |
| Ultrasound retroperitoneal limited CPT 76775 | $873.60 | $1,344.00 | $69.11 – $671.83 | 50 |
| Ultrasound scrotum and contents CPT 76870 | $949.00 | $1,460.00 | $69.11 – $671.83 | 50 |
| Ultrasound spinal canal and contents CPT 76800 | $382.85 | $589.00 | $69.11 – $671.83 | 50 |
| Ultrasound transabd ea addl gest CPT 76812 | $342.55 | $527.00 | $274.07 – $274.07 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $905.45 | $1,393.00 | $69.11 – $671.83 | 50 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $24,890.05 | $38,292.39 | $590.36 – $38,849.99 | 50 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $26,568.24 | $40,874.22 | $3,996.49 – $38,849.99 | 49 |
| Unlisted mr procedure CPT 76498 | $2,579.85 | $3,969.00 | $57.53 – $559.25 | 50 |
| Unlisted neurological dx px CPT 95999 | $413.40 | $636.00 | $85.06 – $826.91 | 50 |
| Unlisted procedure microbiology CPT 87999 | $33.80 | $52.00 | $95.87 – $95.87 | 1 |
| Unlisted px arthroscopy CPT 29999 | $54,739.68 | $84,214.89 | $204.50 – $46,630.14 | 50 |
| Unlisted px small intestine CPT 44799 | $5,335.40 | $8,208.31 | $599.58 – $5,828.49 | 49 |
| Unlstd laps px sprmatic cord CPT 55559 | $29,217.19 | $44,949.53 | $392.72 – $38,849.99 | 50 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,398.80 | $2,152.00 | $453.70 – $4,410.42 | 45 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,146.00 | $4,840.00 | $230.63 – $2,241.93 | 50 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,392.00 | $3,680.00 | $159.97 – $2,241.93 | 50 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,189.20 | $3,368.00 | $157.73 – $1,533.30 | 50 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $6,098.96 | $9,383.01 | $103.59 – $5,828.49 | 50 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $7,903.79 | $12,159.68 | $116.03 – $12,331.34 | 50 |
| Uppr gi scope w/submuc inj CPT 43236 | $6,924.24 | $10,652.68 | $116.03 – $5,828.49 | 50 |
| Urea nitrogen CPT 84520 | $90.35 | $139.00 | $3.56 – $14.19 | 54 |
| Urea nitrogen 24 hour urine CPT 84540 | $93.60 | $144.00 | $5.00 – $19.97 | 54 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $496.60 | $764.00 | $113.83 – $1,533.30 | 50 |
| Urethrocystography void s&i CPT 74455 | $923.65 | $1,421.00 | $143.43 – $1,533.30 | 50 |
| Uric acid blood CPT 84550 | $111.15 | $171.00 | $4.07 – $16.24 | 54 |
| Uric acid urine CPT 84560 | $120.25 | $185.00 | $4.57 – $18.25 | 54 |
| Urinalysis microscopic only CPT 81015 | $35.10 | $54.00 | $2.75 – $10.96 | 54 |
| Urinalysis (with microscopy) CPT 81001 | $113.75 | $175.00 | $2.85 – $11.39 | 54 |
| Urinalysis (without microscopy) CPT 81003 | $81.25 | $125.00 | $2.03 – $8.08 | 54 |
| Urine Culture Test CPT 87086 | $159.90 | $246.00 | $7.26 – $28.99 | 54 |
| Urine pregnancy test CPT 81025 | $137.80 | $212.00 | $7.75 – $30.93 | 54 |
| Urography, antegrade CPT 74425 | $707.85 | $1,089.00 | $93.24 – $2,241.93 | 50 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $7,241.17 | $11,140.26 | $7.67 – $12,093.90 | 44 |
| Vaccine dtap < 7 years im CPT 90700 | $92.42 | $142.18 | $50.30 – $50.30 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $349.24 | $537.30 | $176.15 – $176.15 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $412.03 | $633.90 | $204.10 – $204.10 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $99.85 | $153.62 | $51.99 – $51.99 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $288.66 | $444.09 | $66.05 – $66.05 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $241.64 | $371.75 | $72.14 – $246.33 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $95.41 | $146.79 | $30.56 – $110.85 | 6 |
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.