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 |
|---|---|---|---|---|
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $93.60 | $144.00 | $92.62 – $1,289.32 | 49 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $107.90 | $166.00 | $106.27 – $1,289.32 | 49 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $97.50 | $150.00 | $82.75 – $1,289.32 | 49 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $121.55 | $187.00 | $94.53 – $1,289.32 | 49 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $180.05 | $277.00 | $68.81 – $1,289.32 | 49 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $107.25 | $165.00 | $86.58 – $1,289.32 | 49 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $125.45 | $193.00 | $95.46 – $1,289.32 | 49 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $43.55 | $67.00 | $43.28 – $1,289.32 | 49 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $66.30 | $102.00 | $67.01 – $1,289.32 | 49 |
| Destruction 2-14 lesions 17003 CPT 17003 | $9.10 | $14.00 | $1.59 – $1.59 | 1 |
| Destruction anal lesion(s) CPT 46924 | $16,816.12 | $25,870.96 | $159.42 – $17,837.02 | 50 |
| Destruction benign lesions < 14 lesions CPT 17110 | $54.60 | $84.00 | $56.15 – $1,289.32 | 49 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $31,824.53 | $48,960.81 | $162.02 – $12,548.69 | 50 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $108.55 | $167.00 | $106.88 – $2,612.34 | 49 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $130.65 | $201.00 | $130.03 – $2,612.34 | 49 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $358.80 | $552.00 | $268.73 – $1,594.75 | 47 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $121.55 | $187.00 | $268.73 – $1,594.75 | 47 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $85.15 | $131.00 | $268.73 – $1,594.75 | 47 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $15,221.73 | $23,418.05 | $139.19 – $13,259.10 | 50 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $78.00 | $120.00 | $76.59 – $2,612.34 | 49 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $310.05 | $477.00 | $18.96 – $559.25 | 50 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.87 | $7.50 | $0.06 – $0.06 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $7.15 | $11.00 | $0.40 – $0.40 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,296.75 | $1,995.00 | $32.83 – $224.63 | 44 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $130.00 | $200.00 | $2.31 – $2.31 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $130.00 | $200.00 | $13.57 – $13.57 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $130.00 | $200.00 | $3.45 – $3.45 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $130.00 | $200.00 | $5.17 – $5.17 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $219.70 | $338.00 | $20.01 – $79.85 | 54 |
| Diabetes (HbA1c) Test CPT 83036 | $124.80 | $192.00 | $8.74 – $34.88 | 54 |
| Diag laparo separate proc 49320 CPT 49320 | $20,192.52 | $31,065.41 | $294.64 – $38,849.99 | 50 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $445.90 | $686.00 | $56.33 – $1,282.71 | 50 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $401.70 | $618.00 | $93.56 – $430.85 | 50 |
| Diagnostic Mammogram (one breast) CPT 77065 | $308.10 | $474.00 | $72.91 – $337.99 | 50 |
| Dialysis one evaluation CPT 90945 | $123.50 | $190.00 | $72.45 – $2,681.46 | 50 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $29.90 | $46.00 | $6.00 – $6.00 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $69.55 | $107.00 | $10.49 – $10.49 | 1 |
| Dicyclomine injection HCPCS J0500 | $63.37 | $97.50 | $19.86 – $19.86 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.15 | $11.00 | $6.80 – $6.80 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $159.90 | $246.00 | $11.95 – $47.70 | 54 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $126.75 | $195.00 | $165.02 – $165.02 | 1 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $48.75 | $75.00 | $1.40 – $1.40 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $2,371.69 | $3,648.75 | $494.32 – $2,600.15 | 44 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.15 | $11.00 | $1.53 – $1.53 | 1 |
| Disaccharidases CPT 82657 | $75.40 | $116.00 | $19.95 – $79.63 | 54 |
| Dna antibody native/double stranded CPT 86225 | $145.60 | $224.00 | $12.37 – $49.35 | 54 |
| Dna gardnerella CPT 87510 | $59.80 | $92.00 | $18.05 – $72.02 | 54 |
| Dna trichomonas CPT 87660 | $59.80 | $92.00 | $18.05 – $72.02 | 54 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $95.06 | $146.25 | $13.57 – $13.57 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $284.05 | $437.00 | $104.00 – $104.00 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $64.19 | $98.75 | $11.20 – $11.20 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,008.15 | $1,551.00 | $133.38 – $1,387.59 | 50 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $495.30 | $762.00 | $87.95 – $855.03 | 50 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $19,947.98 | $30,689.20 | $163.07 – $42,668.50 | 44 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $435.23 | $669.58 | $23.10 – $23.10 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,039.05 | $3,137.00 | $47.43 – $764.96 | 44 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $78.52 | $120.80 | $20.00 – $20.00 | 1 |
| Drainage external ear simple 69000 CPT 69000 | $633.10 | $974.00 | $106.87 – $4,550.61 | 49 |
| Drainage of kidney lesion CPT 50390 | $4,260.35 | $6,554.38 | $77.76 – $4,550.61 | 50 |
| Drain bladder by trocar/cath CPT 51101 | $21,675.11 | $33,346.33 | $42.52 – $34,456.13 | 50 |
| Drain cath image guided visceral pq CPT 49405 | $4,175.20 | $6,423.38 | $160.12 – $10,613.58 | 50 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $26,139.94 | $40,215.29 | $272.69 – $46,630.14 | 50 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $7.15 | $11.00 | $9.11 – $9.11 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $31.85 | $49.00 | $83.91 – $799.71 | 44 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $27.30 | $42.00 | $83.91 – $799.71 | 44 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $163.80 | $252.00 | $83.91 – $799.71 | 44 |
| Drug admin & hemodynmic meas CPT 93463 | $1,353.95 | $2,083.00 | $79.38 – $79.38 | 1 |
| Drug assay caffeine CPT 80155 | $32.50 | $50.00 | $34.71 – $138.54 | 52 |
| Drug assay posaconazole CPT 80187 | $139.75 | $215.00 | $24.40 – $97.38 | 52 |
| Drug assay vedolizumab CPT 80280 | $174.20 | $268.00 | $34.71 – $138.54 | 54 |
| Drug assay voriconazole CPT 80285 | $136.50 | $210.00 | $24.40 – $97.38 | 54 |
| Drug of abuse screen urine CPT 80305 | $87.75 | $135.00 | $11.34 – $45.26 | 54 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $148.20 | $228.00 | $55.93 – $223.21 | 54 |
| Duplex scan bilateral study 93985 CPT 93985 | $287.95 | $443.00 | $157.73 – $1,533.30 | 50 |
| Duplex scan unilateral study 93986 CPT 93986 | $192.40 | $296.00 | $69.11 – $671.83 | 50 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $249.60 | $384.00 | $69.11 – $671.83 | 50 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $700.05 | $1,077.00 | $119.87 – $1,387.59 | 50 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,645.15 | $2,531.00 | $157.73 – $1,533.30 | 50 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $7,161.10 | $11,017.08 | $56.86 – $3,580.50 | 44 |
| Dxa bone density axl vrt fx CPT 77085 | $224.25 | $345.00 | $69.11 – $671.83 | 50 |
| Dx bronchoscope/brush 31623 CPT 31623 | $16,301.19 | $25,078.76 | $113.29 – $11,438.02 | 50 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $25,420.56 | $39,108.55 | $114.70 – $45,352.90 | 50 |
| Dx bronchoscope/wash 31622 CPT 31622 | $16,596.64 | $25,533.30 | $448.33 – $23,959.22 | 50 |
| Ecg 12 lead tracing only CPT 93005 | $239.85 | $369.00 | $39.00 – $379.10 | 50 |
| Ecg external < 48 hours recording CPT 93225 | $344.50 | $530.00 | $15.28 – $855.03 | 50 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $926.90 | $1,426.00 | $29.41 – $395.21 | 48 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,038.40 | $3,136.00 | $361.22 – $3,511.41 | 50 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,452.75 | $2,235.00 | $467.42 – $5,037.63 | 49 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $603.85 | $929.00 | $157.73 – $1,533.30 | 50 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $783.25 | $1,205.00 | $206.06 – $2,241.93 | 49 |
| Echo exam of fetal heart CPT 76825 | $1,326.00 | $2,040.00 | $154.89 – $3,511.41 | 50 |
| Echo exam of fetal heart CPT 76826 | $906.75 | $1,395.00 | $100.62 – $1,533.30 | 50 |
| Echo exam of fetal heart CPT 76827 | $1,021.80 | $1,572.00 | $35.90 – $671.83 | 50 |
| Echo exam of fetal heart CPT 76828 | $906.75 | $1,395.00 | $19.25 – $671.83 | 50 |
| Echo guide for artery repair CPT 76936 | $668.85 | $1,029.00 | $142.74 – $1,387.59 | 50 |
| Echo stress CPT 93350 | $1,134.90 | $1,746.00 | $99.78 – $3,511.41 | 50 |
| Echo tee guidance CPT 93355 | $559.00 | $860.00 | $184.18 – $184.18 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,846.00 | $2,840.00 | $361.22 – $3,511.41 | 50 |
| Echo transesophageal CPT 93315 | $1,156.35 | $1,779.00 | $361.22 – $2,143.61 | 48 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,153.75 | $1,775.00 | $80.29 – $1,533.30 | 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.