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 |
|---|---|---|---|---|
| CT lwr extremity w/o&w/dye CPT 73702 | $1,964.95 | $3,023.00 | $115.95 – $1,127.17 | 50 |
| CT neck soft tissue w/contrast CPT 70491 | $2,193.75 | $3,375.00 | $115.95 – $1,127.17 | 50 |
| CT neck soft tissue without contrast CPT 70490 | $2,126.80 | $3,272.00 | $69.11 – $671.83 | 50 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,976.65 | $3,041.00 | $115.95 – $1,127.17 | 50 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,834.30 | $2,822.00 | $115.95 – $688.10 | 48 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,534.00 | $2,360.00 | $107.97 – $1,127.17 | 50 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,409.20 | $2,168.00 | $69.11 – $671.83 | 50 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,185.60 | $1,824.00 | $230.63 – $2,241.93 | 50 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,080.95 | $1,663.00 | $230.63 – $2,241.93 | 50 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,080.95 | $1,663.00 | $157.73 – $1,533.30 | 50 |
| CT thoracic spine w/contrast CPT 72129 | $1,832.35 | $2,819.00 | $115.95 – $1,127.17 | 50 |
| CT thoracic spine without contrast CPT 72128 | $1,883.05 | $2,897.00 | $69.11 – $671.83 | 50 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $245.05 | $377.00 | $69.11 – $671.83 | 49 |
| CT t-spine w /wo contrast CPT 72130 | $2,059.85 | $3,169.00 | $115.95 – $1,127.17 | 50 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,203.15 | $1,851.00 | $230.63 – $2,241.93 | 50 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,104.35 | $1,699.00 | $69.11 – $671.83 | 50 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,901.90 | $2,926.00 | $115.95 – $1,127.17 | 50 |
| Culture aerobic additional method definitive id each CPT 87077 | $81.25 | $125.00 | $7.27 – $29.02 | 54 |
| Culture afb any source CPT 87116 | $70.20 | $108.00 | $9.72 – $38.79 | 54 |
| Culture anaerobic additional method definitive id each CPT 87076 | $84.50 | $130.00 | $7.27 – $29.02 | 54 |
| Culture anaerobic except blood CPT 87075 | $213.20 | $328.00 | $8.52 – $34.02 | 54 |
| Culture body fluid CPT 87070 | $180.05 | $277.00 | $7.76 – $30.96 | 54 |
| Culture fungi definitive id mold CPT 87107 | $43.55 | $67.00 | $9.29 – $37.07 | 54 |
| Culture fungi definitive id yeast CPT 87106 | $60.45 | $93.00 | $9.29 – $37.07 | 54 |
| Culture fungi other (except blood) CPT 87102 | $141.05 | $217.00 | $7.57 – $30.21 | 54 |
| Culture fungi skin/hair/nail CPT 87101 | $29.25 | $45.00 | $6.94 – $27.69 | 54 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $70.85 | $109.00 | $13.15 – $52.48 | 54 |
| Culture screening strep group a CPT 87081 | $134.55 | $207.00 | $5.97 – $23.81 | 54 |
| Culture typing immunologic CPT 87147 | $50.70 | $78.00 | $4.66 – $18.61 | 54 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $488.80 | $752.00 | $196.25 – $783.27 | 53 |
| Culture urine each isolate CPT 87088 | $35.75 | $55.00 | $7.28 – $29.06 | 54 |
| Cv line/pic reposition CPT 36597 | $51,392.17 | $79,064.87 | $49.94 – $74,185.64 | 50 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.15 | $11.00 | $1.62 – $1.62 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $60.45 | $93.00 | $11.66 – $46.52 | 54 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $2,388.42 | $3,674.50 | $0.51 – $868.00 | 44 |
| Cyclosporine 2 hour CPT 80158 | $284.70 | $438.00 | $16.25 – $64.84 | 54 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $4.87 | $7.50 | $1.31 – $1.31 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | $16.07 | $24.73 | $3.52 – $3.52 | 1 |
| Cyp2c19 gene com variants CPT 81225 | $583.05 | $897.00 | $262.22 – $1,046.57 | 51 |
| Cyp3a4 gene common variants CPT 81230 | $538.85 | $829.00 | $157.33 – $627.92 | 51 |
| Cystatin c CPT 82610 | $67.60 | $104.00 | $16.67 – $66.52 | 54 |
| Cystic fibrosis cftr CPT 81223 | $936.65 | $1,441.00 | $449.10 – $1,792.41 | 51 |
| Cystine urine quantitative CPT 82131 | $136.50 | $210.00 | $20.68 – $82.54 | 54 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $644.80 | $992.00 | $97.87 – $2,241.93 | 50 |
| Cystoscopy and biopsy CPT 52007 | $15,227.34 | $23,426.68 | $139.88 – $22,652.36 | 50 |
| Cystoscopy and treatment CPT 52214 | $13,334.94 | $20,515.30 | $145.51 – $22,652.36 | 50 |
| Cystoscopy and treatment CPT 52224 | $13,718.72 | $21,105.72 | $168.22 – $22,652.36 | 50 |
| Cystoscopy and treatment CPT 52234 | $18,231.92 | $28,049.11 | $205.75 – $22,652.36 | 50 |
| Cystoscopy and treatment CPT 52235 | $18,572.81 | $28,573.55 | $241.69 – $22,652.36 | 50 |
| Cystoscopy and treatment CPT 52240 | $20,041.38 | $30,832.90 | $327.74 – $34,456.13 | 50 |
| Cystoscopy and treatment CPT 52260 | $12,692.29 | $19,526.60 | $176.14 – $13,433.32 | 50 |
| Cystoscopy and treatment CPT 52276 | $15,976.95 | $24,579.93 | $221.73 – $13,433.32 | 50 |
| Cystoscopy and treatment CPT 52283 | $13,919.62 | $21,414.80 | $169.29 – $22,652.36 | 50 |
| Cystoscopy and treatment CPT 52285 | $10,503.82 | $16,159.72 | $164.26 – $13,433.32 | 50 |
| Cystoscopy and treatment CPT 52310 | $27,100.50 | $41,693.08 | $127.54 – $22,652.36 | 50 |
| Cystoscopy and treatment CPT 52330 | $20,605.47 | $31,700.73 | $219.88 – $22,652.36 | 50 |
| Cystoscopy (Bladder Scope) CPT 52000 | $15,258.72 | $23,474.96 | $67.63 – $4,480.98 | 50 |
| Cystoscopy chemodenervation CPT 52287 | $12,319.08 | $18,952.43 | $141.66 – $13,433.32 | 50 |
| Cystoscopy & ureter catheter CPT 52005 | $13,474.62 | $20,730.18 | $112.63 – $13,433.32 | 50 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $14,453.61 | $22,236.33 | $252.62 – $13,433.32 | 50 |
| Cystouretero & or pyeloscope CPT 52351 | $14,682.65 | $22,588.70 | $253.36 – $22,652.36 | 50 |
| Cysto/uretero stricture tx CPT 52344 | $22,376.69 | $34,425.67 | $308.87 – $22,652.36 | 50 |
| Cystouretero w/biopsy CPT 52354 | $20,569.96 | $31,646.10 | $348.85 – $34,456.13 | 50 |
| Cysto/uretero w/lithotripsy CPT 52356 | $34,015.04 | $52,330.83 | $347.73 – $34,456.13 | 50 |
| Cystouretero w/lithotripsy CPT 52353 | $31,362.94 | $48,250.68 | $327.10 – $34,456.13 | 50 |
| Cystouretero w/stone remove CPT 52352 | $19,825.68 | $30,501.05 | $296.39 – $22,652.36 | 50 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $13,053.69 | $20,082.60 | $128.96 – $13,433.32 | 50 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $15,882.54 | $24,434.68 | $120.02 – $34,456.13 | 50 |
| Cysto w/ureter stricture tx CPT 52341 | $23,402.79 | $36,004.30 | $237.86 – $22,652.36 | 50 |
| Cytogenetics 25-99 CPT 88274 | $177.45 | $273.00 | $38.14 – $152.23 | 54 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $194.35 | $299.00 | $12.95 – $51.69 | 54 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $189.80 | $292.00 | $15.17 – $60.53 | 54 |
| Cyto/molecular report CPT 88291 | $57.85 | $89.00 | $30.34 – $111.10 | 43 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $40.95 | $63.00 | $33.36 – $334.88 | 50 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $49.40 | $76.00 | $23.95 – $95.58 | 54 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $219.05 | $337.00 | $24.69 – $240.01 | 50 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $226.20 | $348.00 | $24.69 – $240.01 | 50 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $33.80 | $52.00 | $19.56 – $19.56 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $33.80 | $52.00 | $52.83 – $1,094.86 | 50 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $33.80 | $52.00 | $34.45 – $334.88 | 50 |
| Cytopath smear other source CPT 88160 | $130.00 | $200.00 | $19.12 – $123.27 | 48 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $35.75 | $55.00 | $12.98 – $12.98 | 1 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,469.30 | $5,337.39 | $9.90 – $5,442.50 | 44 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $60.42 | $92.95 | $25.00 – $25.00 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $18,269.38 | $28,106.74 | $36.32 – $34,442.10 | 44 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $7,546.50 | $11,610.00 | $2.03 – $262.50 | 44 |
| Dch validity tests CPT 81002 | $40.30 | $62.00 | $3.13 – $12.50 | 54 |
| Deamidated gliadin antibody iga CPT 86258 | $39.65 | $61.00 | $10.85 – $43.28 | 53 |
| Debridement (>20 cm) charge pt CPT 97598 | $332.15 | $511.00 | $20.80 – $76.15 | 42 |
| Decalcification CPT 88311 | $9,633.90 | $14,821.38 | $7.10 – $18,666.40 | 51 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $787.80 | $1,212.00 | $135.00 – $135.00 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $5,239.10 | $8,060.16 | $32.27 – $2,122.61 | 50 |
| Decompression unspecified nerve 64722 CPT 64722 | $18,440.60 | $28,370.15 | $340.82 – $12,548.69 | 50 |
| Decompress spinal cord lmbr CPT 63056 | $39,861.45 | $61,325.31 | $1,310.60 – $46,630.14 | 50 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $47.97 | $73.80 | $15.33 – $15.33 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $224.25 | $345.00 | $17.02 – $1,407.20 | 49 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,781.80 | $8,895.08 | $19.47 – $6,140.40 | 44 |
| Design mlc device for imrt CPT 77338 | $36,631.40 | $56,356.00 | $211.52 – $2,406.15 | 51 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $32.10 | $49.38 | $6.61 – $13.62 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $68.90 | $106.00 | $68.81 – $787.09 | 47 |
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.