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 |
|---|---|---|---|---|
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $850.20 | $1,308.00 | $115.95 – $1,127.17 | 50 |
| X-ray spine single view CPT 72020 | $312.65 | $481.00 | $38.50 – $559.25 | 50 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $249.60 | $384.00 | $26.30 – $559.25 | 50 |
| X-ray sternum > 2 views CPT 71120 | $348.40 | $536.00 | $51.50 – $559.25 | 50 |
| X-ray surgical specimen CPT 76098 | $1,941.55 | $2,987.00 | $361.22 – $3,511.41 | 50 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $523.25 | $805.00 | $115.95 – $1,127.17 | 50 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $332.80 | $512.00 | $57.53 – $559.25 | 50 |
| X-ray thoracic spine 2 views CPT 72070 | $415.35 | $639.00 | $54.76 – $671.83 | 50 |
| X-ray thoracic spine 3 views CPT 72072 | $419.90 | $646.00 | $60.65 – $671.83 | 50 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $415.35 | $639.00 | $57.53 – $559.25 | 50 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $235.95 | $363.00 | $57.53 – $559.25 | 50 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $447.85 | $689.00 | $69.11 – $671.83 | 50 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $613.60 | $944.00 | $44.46 – $559.25 | 50 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $412.10 | $634.00 | $47.04 – $559.25 | 50 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,525.55 | $2,347.00 | $115.95 – $1,127.17 | 50 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,540.50 | $2,370.00 | $115.95 – $1,127.17 | 50 |
| X-ray wrist 2 views (both sides) CPT 73100 | $552.50 | $850.00 | $50.44 – $559.25 | 50 |
| Zidovudine, oral, 100 mg HCPCS S0104 | $40.95 | $63.00 | $61.68 – $61.68 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $333.45 | $513.00 | $46.18 – $184.31 | 52 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $152.75 | $235.00 | $10.68 – $10.68 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $458.25 | $705.00 | $35.36 – $35.36 | 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.