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 |
|---|---|---|---|---|
| Warde neutralization rabies CPT 86382 | $115.70 | $178.00 | $15.22 – $60.74 | 54 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $88.40 | $136.00 | $11.93 – $47.59 | 54 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $61.75 | $95.00 | $20.67 – $82.51 | 53 |
| Warde protein c antigen CPT 85302 | $273.65 | $421.00 | $10.81 – $43.14 | 51 |
| Warde sex hormone binding globulin CPT 84270 | $187.85 | $289.00 | $19.56 – $78.05 | 54 |
| Warde somatomedin CPT 84305 | $260.00 | $400.00 | $19.13 – $76.37 | 54 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $29.90 | $46.00 | $4.95 – $19.76 | 54 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $92.30 | $142.00 | $14.18 – $56.61 | 54 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $135.85 | $209.00 | $45.77 – $182.69 | 54 |
| Warde topiramate therapeutic drug level CPT 80201 | $189.80 | $292.00 | $10.73 – $42.82 | 54 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $137.15 | $211.00 | $23.46 – $93.64 | 54 |
| Warde viscosity CPT 85810 | $48.75 | $75.00 | $10.50 – $41.92 | 54 |
| Warde vitamin a CPT 84590 | $191.10 | $294.00 | $10.45 – $41.70 | 54 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $63.70 | $98.00 | $19.11 – $76.26 | 54 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $191.10 | $294.00 | $25.29 – $100.94 | 54 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $154.70 | $238.00 | $8.90 – $35.52 | 54 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $219.70 | $338.00 | $34.65 – $138.29 | 54 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $159.25 | $245.00 | $12.76 – $50.93 | 54 |
| Warde zinc CPT 84630 | $154.70 | $238.00 | $10.25 – $40.91 | 54 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $560.30 | $862.00 | $100.04 – $953.41 | 48 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $832.00 | $1,280.00 | $268.73 – $2,612.34 | 49 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $832.00 | $1,280.00 | $20.69 – $1,594.75 | 47 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $599.30 | $922.00 | $132.63 – $1,289.32 | 49 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $766.35 | $1,179.00 | $268.73 – $2,612.34 | 49 |
| Wrist arthroscopy/surgery CPT 29843 | $17,988.68 | $27,674.89 | $428.94 – $21,026.66 | 50 |
| Wrist endoscopy/surgery CPT 29848 | $14,936.71 | $22,979.56 | $443.28 – $10,333.33 | 50 |
| Wrist X-ray CPT 73110 | $582.40 | $896.00 | $57.53 – $559.25 | 50 |
| Xm archive tissue molec anal CPT 88363 | $23,524.01 | $36,190.78 | $14.70 – $185.84 | 51 |
| X-ray abdomen 1 view CPT 74018 | $308.75 | $475.00 | $57.53 – $559.25 | 50 |
| X-ray abdomen 2 views CPT 74019 | $501.80 | $772.00 | $69.11 – $671.83 | 50 |
| X-ray abdomen >=3 views CPT 74021 | $485.55 | $747.00 | $25.17 – $671.83 | 50 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $549.25 | $845.00 | $69.11 – $671.83 | 50 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $287.95 | $443.00 | $17.83 – $559.25 | 50 |
| X-ray ankle 2 views (both sides) CPT 73600 | $553.80 | $852.00 | $45.49 – $559.25 | 50 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,444.95 | $2,223.00 | $173.56 – $2,241.93 | 50 |
| X-ray bone age studies CPT 77072 | $292.50 | $450.00 | $38.07 – $671.83 | 50 |
| X-ray bone length studies CPT 77073 | $249.60 | $384.00 | $63.07 – $671.83 | 50 |
| X-ray bone survey complete CPT 77075 | $1,022.45 | $1,573.00 | $69.11 – $671.83 | 50 |
| X-ray bone survey infant CPT 77076 | $499.85 | $769.00 | $69.11 – $671.83 | 50 |
| X-ray cervical spine 2-3 views CPT 72040 | $403.65 | $621.00 | $57.53 – $559.25 | 50 |
| X-ray cervical spine 4-5 views CPT 72050 | $475.15 | $731.00 | $69.11 – $671.83 | 50 |
| X-ray cervical spine >= 6 views CPT 72052 | $512.20 | $788.00 | $69.11 – $671.83 | 50 |
| X-ray clavicle complete (both sides) CPT 73000 | $469.30 | $722.00 | $46.05 – $559.25 | 50 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $737.75 | $1,135.00 | $115.95 – $1,127.17 | 50 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,075.75 | $1,655.00 | $115.95 – $1,127.17 | 50 |
| X-ray elbow 2 views (both sides) CPT 73070 | $533.00 | $820.00 | $45.47 – $559.25 | 50 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $562.25 | $865.00 | $54.63 – $559.25 | 50 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $611.00 | $940.00 | $115.95 – $1,127.17 | 50 |
| X-ray exam of arm infant CPT 73092 | $635.05 | $977.00 | $19.52 – $671.83 | 50 |
| X-ray exam of eye sockets CPT 70200 | $547.95 | $843.00 | $69.11 – $671.83 | 50 |
| X-ray exam of femur 1 CPT 73551 | $424.45 | $653.00 | $18.11 – $559.25 | 50 |
| X-ray exam of jaw joint CPT 70328 | $249.60 | $384.00 | $49.84 – $559.25 | 50 |
| X-ray exam of jaw joint CPT 70332 | $1,274.65 | $1,961.00 | $46.36 – $1,533.30 | 50 |
| X-ray exam of mastoids CPT 70120 | $149.50 | $230.00 | $25.46 – $671.83 | 50 |
| X-ray exam of salivary gland CPT 70380 | $217.10 | $334.00 | $57.53 – $341.40 | 48 |
| X-ray exam of sinuses CPT 70210 | $287.95 | $443.00 | $49.82 – $559.25 | 50 |
| X-ray exam si joints CPT 72200 | $189.80 | $292.00 | $69.11 – $671.83 | 50 |
| X-ray exam thorac spine4/>vw CPT 72074 | $451.75 | $695.00 | $69.11 – $671.83 | 50 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $444.60 | $684.00 | $57.53 – $559.25 | 50 |
| X-ray facial bones complete > 3 views CPT 70150 | $508.30 | $782.00 | $68.77 – $671.83 | 50 |
| X-ray femur >=2 views (both sides) CPT 73552 | $472.55 | $727.00 | $57.53 – $559.25 | 50 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $454.35 | $699.00 | $50.78 – $559.25 | 50 |
| X-ray foot 2 views (both sides) CPT 73620 | $522.60 | $804.00 | $44.44 – $559.25 | 50 |
| X-ray forearm 2 views (both sides) CPT 73090 | $499.85 | $769.00 | $44.97 – $559.25 | 50 |
| X-ray hand 2 views (both sides) CPT 73120 | $554.45 | $853.00 | $44.97 – $671.83 | 50 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $522.60 | $804.00 | $45.49 – $559.25 | 50 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $291.85 | $449.00 | $41.84 – $671.83 | 50 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $529.10 | $814.00 | $69.11 – $671.83 | 50 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $529.10 | $814.00 | $69.11 – $671.83 | 50 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $583.05 | $897.00 | $69.11 – $671.83 | 50 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $273.00 | $420.00 | $57.53 – $559.25 | 50 |
| X-ray humerus >= 2 views left CPT 73060 | $544.05 | $837.00 | $47.68 – $559.25 | 50 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $595.40 | $916.00 | $49.38 – $559.25 | 50 |
| X-ray knee 3 views (both sides) CPT 73562 | $608.40 | $936.00 | $57.53 – $559.25 | 50 |
| X-ray knee ap standing bilateral CPT 73565 | $143.00 | $220.00 | $28.57 – $559.25 | 50 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $546.65 | $841.00 | $50.32 – $559.25 | 50 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $286.00 | $440.00 | $69.11 – $671.83 | 50 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $566.15 | $871.00 | $69.11 – $671.83 | 50 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $586.95 | $903.00 | $69.11 – $671.83 | 50 |
| X-ray mandible complete > 4 views CPT 70110 | $334.10 | $514.00 | $63.39 – $671.83 | 50 |
| X-ray mandible ltd <4 views CPT 70100 | $271.05 | $417.00 | $53.06 – $559.25 | 50 |
| X-ray nasal bones complete > 3 views CPT 70160 | $377.00 | $580.00 | $53.04 – $559.25 | 50 |
| X-ray neck soft tissue CPT 70360 | $290.55 | $447.00 | $44.46 – $559.25 | 50 |
| X-ray nose to rectum for foreign body child CPT 76010 | $248.30 | $382.00 | $45.01 – $559.25 | 50 |
| X-ray pelvis 1-2 views CPT 72170 | $308.75 | $475.00 | $44.02 – $671.83 | 50 |
| X-ray pelvis complete > 3 views CPT 72190 | $273.00 | $420.00 | $69.11 – $671.83 | 50 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $702.00 | $1,080.00 | $47.77 – $2,241.93 | 50 |
| X-ray ribs 2 views left CPT 71100 | $450.45 | $693.00 | $52.60 – $559.25 | 50 |
| X-ray ribs 3 views bilateral CPT 71110 | $560.30 | $862.00 | $65.60 – $671.83 | 50 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $356.20 | $548.00 | $63.99 – $671.83 | 50 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $356.20 | $548.00 | $69.11 – $671.83 | 50 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $379.60 | $584.00 | $56.28 – $671.83 | 50 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $338.00 | $520.00 | $47.13 – $559.25 | 50 |
| X-ray scapula complete (both sides) CPT 73010 | $503.75 | $775.00 | $49.91 – $671.83 | 50 |
| X-ray sella turcica CPT 70240 | $249.60 | $384.00 | $48.25 – $341.40 | 48 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $499.85 | $769.00 | $12.18 – $341.40 | 48 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $515.45 | $793.00 | $57.53 – $559.25 | 50 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $859.30 | $1,322.00 | $29.41 – $3,511.41 | 50 |
| X-ray skull < 4 views CPT 70250 | $360.75 | $555.00 | $59.62 – $671.83 | 50 |
| X-ray skull > 4 views complete CPT 70260 | $423.80 | $652.00 | $69.11 – $671.83 | 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.