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 |
|---|---|---|---|---|
| Cold agglutinin titer CPT 86157 | $58.50 | $90.00 | $7.25 – $28.95 | 54 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $5,415.96 | $8,332.25 | $25.74 – $855.03 | 50 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $968.50 | $1,490.00 | $28.57 – $855.03 | 50 |
| Collection of venous blood by venipuncture CPT 36415 | $620.10 | $954.00 | $6.90 – $33.55 | 55 |
| Colonoscopy (diagnostic) CPT 45378 | $5,406.71 | $8,318.01 | $155.13 – $5,976.15 | 46 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $7,007.65 | $10,781.00 | $192.20 – $7,689.88 | 50 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $6,794.64 | $10,453.30 | $188.55 – $7,689.88 | 50 |
| Colonoscopy submucous njx CPT 45381 | $9,443.86 | $14,529.01 | $167.50 – $7,689.88 | 50 |
| Colonoscopy thru stoma spx CPT 44388 | $6,473.36 | $9,959.01 | $132.68 – $5,976.15 | 50 |
| Colonoscopy w/ablation CPT 45388 | $6,545.70 | $10,070.31 | $225.39 – $7,689.88 | 50 |
| Colonoscopy w/balloon dilat CPT 45386 | $7,875.28 | $12,115.81 | $176.71 – $7,689.88 | 50 |
| Colonoscopy w/control bleed CPT 45382 | $6,899.76 | $10,615.01 | $214.14 – $7,689.88 | 50 |
| Colonoscopy (with biopsy) CPT 45380 | $6,996.60 | $10,764.00 | $167.50 – $7,689.88 | 50 |
| Colonoscopy with biopsy CPT 44389 | $6,794.64 | $10,453.30 | $144.69 – $7,689.88 | 50 |
| Colonoscopy (with polyp removal) CPT 45385 | $7,286.51 | $11,210.01 | $210.99 – $7,689.88 | 50 |
| Colonoscopy w/resection CPT 45390 | $9,150.24 | $14,077.30 | $274.46 – $17,837.02 | 50 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $178.75 | $275.00 | $105.63 – $1,094.86 | 50 |
| Compatibility test each unit electronic CPT 86923 | $306.15 | $471.00 | $79.23 – $1,094.86 | 50 |
| Compatibility test each unit immediate spin technique CPT 86920 | $114.40 | $176.00 | $98.79 – $1,094.86 | 50 |
| Compatibility test incubate CPT 86921 | $66.95 | $103.00 | $89.03 – $1,094.86 | 50 |
| Complement antigen each component c3 CPT 86160 | $240.50 | $370.00 | $10.80 – $43.10 | 54 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $182.65 | $281.00 | $268.73 – $1,594.75 | 47 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $29,873.27 | $45,958.87 | $194.54 – $25,161.48 | 50 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $263.90 | $406.00 | $268.73 – $1,594.75 | 47 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $26,419.37 | $40,645.19 | $64.44 – $42,671.27 | 50 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $26,329.32 | $40,506.65 | $159.46 – $25,161.48 | 50 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $21,420.20 | $32,954.16 | $56.76 – $4,749.44 | 43 |
| Comprehensive hearing test CPT 92557 | $164.45 | $253.00 | $24.50 – $826.91 | 50 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,060.50 | $3,170.00 | $230.63 – $2,241.93 | 44 |
| Concentration infection agents any type CPT 87015 | $45.50 | $70.00 | $6.01 – $23.99 | 54 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $14,402.13 | $22,157.12 | $214.27 – $20,802.52 | 50 |
| Conization of cervix CPT 57520 | $16,773.26 | $25,805.02 | $252.35 – $20,802.52 | 50 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,257.94 | $1,935.30 | $258.53 – $1,367.59 | 44 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $25,698.89 | $39,536.75 | $26.03 – $5,177.47 | 51 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $1,212.90 | $1,866.00 | $20.66 – $1,094.86 | 51 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $2,425.80 | $3,732.00 | $66.73 – $1,094.86 | 51 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $6,752.45 | $10,388.38 | $25.17 – $334.88 | 51 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $5,235.10 | $8,054.00 | $24.69 – $240.01 | 51 |
| Consult comp w/report rfrd material CPT 88325 | $24,890.05 | $38,292.39 | $108.16 – $1,094.86 | 51 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $59.80 | $92.00 | $26.18 – $82.28 | 49 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,737.85 | $7,289.00 | $2,087.30 – $20,290.72 | 50 |
| Contrast x-ray of elbow CPT 73085 | $313.95 | $483.00 | $156.91 – $2,241.93 | 50 |
| Contrast x-ray of hip CPT 73525 | $1,091.35 | $1,679.00 | $161.78 – $2,241.93 | 50 |
| Contrast x-ray of knee joint CPT 73580 | $1,161.55 | $1,787.00 | $211.14 – $2,241.93 | 50 |
| Contrast x-ray of wrist CPT 73115 | $642.85 | $989.00 | $89.85 – $2,241.93 | 50 |
| Coombs direct CPT 86880 | $118.30 | $182.00 | $5.29 – $379.10 | 54 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $116.35 | $179.00 | $5.61 – $1,094.86 | 54 |
| Coombs indirect titer reference CPT 86886 | $125.45 | $193.00 | $5.08 – $1,094.86 | 54 |
| Copper cu 64 dotatate diag HCPCS A9592 | $1,997.45 | $3,073.00 | $392.22 – $2,082.85 | 49 |
| Core ndl bx lng/med perq CPT 32408 | $7,467.45 | $11,488.38 | $125.71 – $10,613.58 | 50 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $14,868.75 | $22,875.00 | $2,143.13 – $20,833.40 | 49 |
| Coronary angio/lv gram/lt heart CPT 93458 | $12,976.60 | $19,964.00 | $2,143.13 – $20,833.40 | 49 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $16,782.35 | $25,819.00 | $2,143.13 – $20,833.40 | 49 |
| Coronary art/grft angio s&i CPT 93455 | $11,520.60 | $17,724.00 | $2,143.13 – $20,833.40 | 49 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $10,524.80 | $16,192.00 | $2,143.13 – $20,833.40 | 49 |
| Cortisol acth stimulation test - sendout CPT 80400 | $163.80 | $252.00 | $29.36 – $117.17 | 54 |
| Cortisol total am CPT 82533 | $183.95 | $283.00 | $14.67 – $58.55 | 54 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $346.38 | $532.90 | $47.63 – $47.63 | 1 |
| Co-treatment - group 15 mins, st CPT 92508 | $245.70 | $378.00 | $20.71 – $80.07 | 49 |
| Counseling smoke cess interm >10mins CPT 99407 | $48.10 | $74.00 | $24.77 – $240.75 | 49 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $484.25 | $745.00 | $291.50 – $1,083.17 | 39 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $605.80 | $932.00 | $291.50 – $1,083.17 | 39 |
| #covid19rsv-rsv CPT 87634 | $157.95 | $243.00 | $63.18 – $252.16 | 54 |
| C-peptide CPT 84681 | $200.85 | $309.00 | $18.73 – $74.75 | 54 |
| Crbrospnl fld flw imag cistern CPT 78630 | $453.05 | $697.00 | $223.35 – $3,489.27 | 50 |
| C-reactive protein CPT 86140 | $49.40 | $76.00 | $4.66 – $18.61 | 54 |
| C-reactive protein high sensitivity CPT 86141 | $126.10 | $194.00 | $11.66 – $46.52 | 54 |
| Creatine kinase CPT 82550 | $100.10 | $154.00 | $5.86 – $23.38 | 54 |
| Creatine kinase mb CPT 82553 | $178.10 | $274.00 | $10.40 – $41.49 | 54 |
| Creatinine CPT 82565 | $100.10 | $154.00 | $4.61 – $18.39 | 54 |
| Creatinine 24 hour urine CPT 82570 | $120.25 | $185.00 | $4.66 – $18.61 | 54 |
| Creatinine clearance urine CPT 82575 | $176.15 | $271.00 | $8.51 – $33.98 | 54 |
| #creutz-prot.,western blot CPT 84182 | $237.90 | $366.00 | $22.10 – $104.92 | 54 |
| Crisis psychotherapy 90839 CPT 90839 | $143.65 | $221.00 | $136.97 – $696.32 | 8 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $70.85 | $109.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $2,145.00 | $3,300.00 | $546.06 – $3,240.55 | 47 |
| Crotalidae poly immune fab HCPCS J0840 | $6,236.10 | $9,594.00 | $1,215.07 – $6,513.96 | 42 |
| Cryoprecipitate each unit HCPCS P9012 | $317.20 | $488.00 | $47.49 – $452.58 | 49 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $89.05 | $137.00 | $132.63 – $787.09 | 47 |
| Crystal identification light microscopy CPT 89060 | $88.40 | $136.00 | $6.60 – $26.33 | 54 |
| Csf leakage imaging CPT 78650 | $2,358.85 | $3,629.00 | $187.48 – $8,319.73 | 50 |
| CT 3d report other modality w/workstation CPT 76377 | $582.40 | $896.00 | $35.37 – $35.37 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,185.60 | $1,824.00 | $115.95 – $1,127.17 | 50 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,225.25 | $1,885.00 | $115.95 – $1,127.17 | 50 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $4,275.05 | $6,577.00 | $115.95 – $1,127.17 | 50 |
| Cta neck without &/or w/contrast CPT 70498 | $2,555.80 | $3,932.00 | $115.95 – $1,127.17 | 50 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,225.25 | $1,885.00 | $230.63 – $2,241.93 | 50 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,866.50 | $4,410.00 | $115.95 – $1,127.17 | 50 |
| CT Angiogram of the Head CPT 70496 | $1,955.20 | $3,008.00 | $115.95 – $1,127.17 | 50 |
| CT angio hrt w/3d image CPT 75574 | $2,146.95 | $3,303.00 | $230.63 – $2,241.93 | 50 |
| CT angio pelvis CPT 72191 | $2,361.45 | $3,633.00 | $115.95 – $1,127.17 | 50 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,964.95 | $3,023.00 | $115.95 – $1,127.17 | 50 |
| CT cerebral perf w cont & prcssng CPT 70473 | $585.00 | $900.00 | $115.95 – $1,127.17 | 44 |
| CT guidance for needle placement CPT 77012 | $1,858.35 | $2,859.00 | $262.38 – $262.38 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $887.25 | $1,365.00 | $219.10 – $219.10 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $84.50 | $130.00 | $57.53 – $559.25 | 50 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,850.55 | $2,847.00 | $304.45 – $1,368.63 | 10 |
| CT hrt w/3d image CPT 75572 | $1,575.60 | $2,424.00 | $126.36 – $2,241.93 | 50 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,864.85 | $2,869.00 | $115.95 – $1,127.17 | 50 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,864.85 | $2,869.00 | $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.