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 |
|---|---|---|---|---|
| Candida dna CPT 87480 | $59.80 | $92.00 | $18.05 – $72.02 | 54 |
| Carbamazepine total therapeutic drug level CPT 80156 | $275.60 | $424.00 | $13.11 – $52.34 | 54 |
| Carbohydrate deficient transf - sendout CPT 82373 | $91.65 | $141.00 | $16.25 – $64.87 | 54 |
| Carbon dioxide CPT 82374 | $78.65 | $121.00 | $4.39 – $17.53 | 54 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $103.93 | $159.90 | $10.77 – $10.77 | 1 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $455.00 | $700.00 | $10.27 – $38.16 | 41 |
| Carboxyhemoglobin quantitative CPT 82375 | $181.35 | $279.00 | $11.09 – $44.25 | 54 |
| Carcinoembryonic ag (cea) CPT 82378 | $204.10 | $314.00 | $17.06 – $68.10 | 54 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,350.70 | $2,078.00 | $210.04 – $8,319.73 | 50 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $303.55 | $467.00 | $85.22 – $828.40 | 50 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $303.55 | $467.00 | $7.35 – $828.40 | 50 |
| Cardiolipin antibody iga CPT 86147 | $105.30 | $162.00 | $22.91 – $91.42 | 54 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,021.15 | $1,571.00 | $436.93 – $4,247.35 | 50 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $6,158.09 | $9,473.98 | $37.12 – $1,928.15 | 44 |
| Carotene CPT 82380 | $35.10 | $54.00 | $8.30 – $33.12 | 52 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $957.45 | $1,473.00 | $157.73 – $1,533.30 | 50 |
| Carpal Tunnel Release Surgery CPT 64721 | $12,735.84 | $19,593.60 | $383.42 – $12,548.69 | 50 |
| Car seat/bed test 60 minutes CPT 94780 | $160.55 | $247.00 | $24.69 – $240.01 | 49 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $13,191.10 | $20,294.00 | $682.57 – $20,833.40 | 49 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $105.30 | $162.00 | $6.90 – $33.55 | 54 |
| Catheter stripping venous CPT 36595 | $7,419.88 | $11,415.20 | $150.68 – $20,290.72 | 50 |
| Cath left heart/lv gram CPT 93452 | $8,923.85 | $13,729.00 | $545.58 – $20,833.40 | 49 |
| Cath place 1st order venous 36011 CPT 36011 | $10,858.01 | $16,704.63 | $131.34 – $20,290.72 | 50 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $19,136.00 | $29,440.00 | $2,143.13 – $20,833.40 | 49 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $13,044.20 | $20,068.00 | $2,143.13 – $20,833.40 | 49 |
| Cath plc art/grft/angio right hrt CPT 93457 | $15,398.50 | $23,690.00 | $721.03 – $20,833.40 | 49 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,877.25 | $5,965.00 | $2,143.13 – $20,833.40 | 49 |
| Cath stripping venous s&i CPT 75901 | $351.65 | $541.00 | $173.77 – $267.19 | 2 |
| Cauterization chemical granulation tissue CPT 17250 | $29.90 | $46.00 | $132.63 – $1,289.32 | 49 |
| Cdna analysis for variants CPT 81403 | $532.35 | $819.00 | $166.68 – $665.24 | 54 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $19.01 | $29.25 | $2.86 – $2.86 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $31.85 | $49.00 | $4.18 – $4.18 | 1 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $878.59 | $1,351.67 | $432.60 – $890.40 | 3 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $32.50 | $50.00 | $5.58 – $5.58 | 1 |
| Ceftazidime and avibactam HCPCS J0714 | $1,417.44 | $2,180.67 | $69.13 – $1,469.30 | 44 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $9.41 | $14.47 | $0.82 – $0.82 | 1 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $17.63 | $27.13 | $7.78 – $7.78 | 1 |
| #celiac hla-dq2 CPT 81377 | $240.50 | $370.00 | $85.27 – $340.31 | 51 |
| Cell count body fluid CPT 89050 | $65.00 | $100.00 | $4.25 – $16.95 | 54 |
| Cell count w differential body fluid CPT 89051 | $65.00 | $100.00 | $5.04 – $20.12 | 54 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $18,426.61 | $28,348.63 | $19.64 – $35,157.50 | 44 |
| #cf-97variants CPT 81220 | $339.30 | $522.00 | $500.94 – $1,999.31 | 54 |
| Cftr gene dup/delet variants CPT 81222 | $539.50 | $830.00 | $391.56 – $1,562.77 | 51 |
| Change cystostomy tube simple CPT 51705 | $16,890.06 | $25,984.71 | $44.24 – $34,456.13 | 50 |
| Change of ureter tube/stent CPT 50688 | $7,865.65 | $12,101.00 | $65.93 – $13,433.32 | 50 |
| Chemo adm cns w/lmbr punct CPT 96450 | $725.40 | $1,116.00 | $218.35 – $2,122.61 | 50 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $72.80 | $112.00 | $56.78 – $56.78 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $134.55 | $207.00 | $66.99 – $66.99 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $622.05 | $957.00 | $97.03 – $4,536.18 | 49 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $622.05 | $957.00 | $90.06 – $4,536.18 | 49 |
| Chemodenervation anal musc CPT 46505 | $15,613.52 | $24,020.80 | $224.48 – $7,689.88 | 50 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $94.90 | $146.00 | $98.77 – $1,972.54 | 49 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $32.50 | $50.00 | $31.73 – $1,972.54 | 49 |
| Chemodenerv musc migraine 64615 CPT 64615 | $98.15 | $151.00 | $102.77 – $1,972.54 | 49 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $266.50 | $410.00 | $92.74 – $1,972.54 | 49 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $90.35 | $139.00 | $97.46 – $1,972.54 | 49 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $383.50 | $590.00 | $97.56 – $4,536.18 | 49 |
| Chemo extend IV infus w/pump HCPCS G0498 | $799.50 | $1,230.00 | $218.35 – $2,122.61 | 50 |
| Chest 2 vws w oblique CPT 71048 | $458.90 | $706.00 | $69.11 – $671.83 | 50 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,346.50 | $3,610.00 | $115.95 – $1,127.17 | 50 |
| Chest CT scan (with contrast) CPT 71260 | $2,011.75 | $3,095.00 | $115.95 – $1,127.17 | 50 |
| Chest CT scan (without contrast) CPT 71250 | $2,011.75 | $3,095.00 | $69.11 – $671.83 | 50 |
| Chest X-ray CPT 71046 | $349.05 | $537.00 | $57.53 – $559.25 | 50 |
| Chest X-ray (single view) CPT 71045 | $282.10 | $434.00 | $57.53 – $559.25 | 50 |
| Chlamydia type CPT 87140 | $26.65 | $41.00 | $5.01 – $20.01 | 52 |
| Chlnggrphy intraop addl s&i CPT 74301 | $248.30 | $382.00 | $75.42 – $75.42 | 1 |
| Chloride CPT 82435 | $80.60 | $124.00 | $4.14 – $16.52 | 54 |
| Chloride 24 hour urine CPT 82436 | $80.60 | $124.00 | $5.18 – $20.65 | 54 |
| Chloroprocaine hcl injection HCPCS J2401 | $90.02 | $138.50 | $28.00 – $28.00 | 1 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $580.51 | $893.10 | $68.65 – $68.65 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $37.56 | $57.78 | $46.02 – $46.02 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $850.20 | $1,308.00 | $75.42 – $75.42 | 1 |
| Cholesterol CPT 82465 | $117.00 | $180.00 | $3.92 – $15.63 | 54 |
| Cholesterol (Lipid) Test CPT 80061 | $182.00 | $280.00 | $12.05 – $48.10 | 54 |
| Cholinesterase CPT 82480 | $32.50 | $50.00 | $7.08 – $28.27 | 54 |
| Chrom analysis CPT 88273 | $33.80 | $52.00 | $31.33 – $125.04 | 52 |
| Chromo high res and frag x - sendout CPT 81243 | $270.40 | $416.00 | $51.34 – $204.89 | 54 |
| Chromosome analys amniotic CPT 88269 | $162.50 | $250.00 | $156.29 – $623.79 | 52 |
| Chromosome analysis 15-20 cell count CPT 88262 | $581.10 | $894.00 | $112.94 – $450.76 | 54 |
| Chromosome analys placenta CPT 88267 | $360.75 | $555.00 | $169.71 – $677.34 | 54 |
| Chromosome karyotype study CPT 88280 | $92.95 | $143.00 | $30.12 – $120.22 | 54 |
| Chronic urticaria - sendout CPT 86343 | $52.00 | $80.00 | $11.21 – $44.76 | 54 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $26.00 | $40.00 | $7.88 – $7.88 | 1 |
| Circum 28 days or older CPT 54161 | $15,488.00 | $23,827.70 | $169.28 – $13,433.32 | 50 |
| Circumcision (newborn) CPT 54150 | $37.15 | $57.16 | $80.42 – $13,433.32 | 50 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $186.55 | $287.00 | $16.60 – $16.60 | 1 |
| Clearance of airways CPT 31720 | $178.75 | $275.00 | $43.40 – $1,407.20 | 49 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $42.41 | $65.25 | $2.84 – $2.84 | 1 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $81.25 | $125.00 | $30.04 – $30.04 | 1 |
| Clot factor xii hageman CPT 85280 | $43.55 | $67.00 | $17.42 – $69.51 | 54 |
| Clot factor xiii fibrin stab CPT 85290 | $103.35 | $159.00 | $14.71 – $58.69 | 54 |
| Clozapine, 25 mg HCPCS S0136 | $4.87 | $7.50 | $1.11 – $1.11 | 1 |
| C motor evoked lwr limbs CPT 95929 | $1,912.95 | $2,943.00 | $246.68 – $1,760.25 | 48 |
| C motor evoked uppr limbs CPT 95928 | $1,912.95 | $2,943.00 | $149.77 – $5,518.45 | 50 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,903.20 | $2,928.00 | $567.68 – $5,518.45 | 50 |
| Cmv pcr-sendout CPT 87496 | $308.75 | $475.00 | $31.58 – $126.04 | 54 |
| Co2 monitor per day CPT 94681 | $574.60 | $884.00 | $246.68 – $2,397.98 | 50 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $28,762.50 | $44,250.00 | $1.74 – $18,550.00 | 42 |
| Coagulation time activated teg CPT 85347 | $39.00 | $60.00 | $3.85 – $15.37 | 54 |
| Cocaine 4 % nasal solution HCPCS C9046 | $836.06 | $1,286.25 | $457.60 – $457.60 | 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.