Visits & medical services prices at Mercy Hospital Southeast

Cape Girardeau, MO · every code in this section with a posted price and a Medicare benchmark.

231 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $14,461.20 $22,248 1.9×
Actinotherapy Ultraviolet Light (96900)
range across 3 matching MRF lines
$16.25–$147.55 $25–$227 varies
Advncd Care Plan 30 Min (99497)
range across 3 matching MRF lines
$60.45–$96.85 $93–$149 varies
Aep neurodiagnostic i&r (92653) $904.80 $1,392 4.2×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$118.30–$224.25 $182–$345 varies
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$27.95–$115.05 $43–$177 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $66.30 $102 4.6×
Application on-body injector (96377) $104 $160 2.2×
Basic vestibular evaluation (92540) $597.35 $919 2.8×
Behavral qualit analys voice (92524) $157.30 $242 1.4×
Bis Xtracell Fluid Analysis (93702) $277.55 $427 2.2×
Brief Emotional/Behav Assmt (96127) $40.95 $63 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $469.30 $722 1.3×
C motor evoked uppr limbs (95928) $1,912.95 $2,943 2.2×
C motor evoked upr&lwr limbs (95939) $1,903.20 $2,928 2.2×
Caloric vestibular test w/rec bi monothermal (92538) $313.30 $482 1.4×
Caloric Vstblr Test W/Rec (92537) $571.35 $879 4.4×
Car seat/bed test 60 min (94780) $160.55 $247 4.3×
Cardiac Stress Tst,Tracing Only (93017) $1,144.65 $1,761 5.3×
Cardiopulmonary resuscitation (92950) $696.80 $1,072 3.2×
Cardioversion (92960)
range across 2 matching MRF lines
$590.20–$1,021.15 $908–$1,571 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $16,782.35 $25,819 5.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $12,976.60 $19,964 4.0×
Cbt 1st hour (94644) $72.80 $112 0.5×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$61.75–$707.20 $95–$1,088 varies
Chemo Hormon Antineopl Sq/Im (96402) $147.55 $227 2.0×
Chemo IV infusion addl hr (96415) $161.20 $248 2.2×
Chemo IV push addl drug (96411) $199.55 $307 2.8×
Chemotherapy Into Cns (96450) $725.40 $1,116 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $113.10 $174 1.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,000.35 $1,539 3.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $484.90 $746 1.5×
Chest Wall Manipulation (94668)
range across 4 matching MRF lines
$91–$137.80 $140–$212 varies
Color/duplex Doppler, complete (93975) $1,297.40 $1,996 5.4×
Color/duplex Doppler, limited (93976) $980.20 $1,508 9.4×
Comprehensive Hearing Test (92557) $164.45 $253 1.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $248.30 $382 1.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $96.85 $149 1.6×
Continuous Pulse Ox (94762) $270.40 $416 2.1×
Coronary Art/Grft Angio S&I (93455) $11,520.60 $17,724 3.5×
Coronary Artery Angio S&I (93454) $10,524.80 $16,192 3.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$451.10–$664.95 $694–$1,023 varies
Cpt initial (94667)
range across 4 matching MRF lines
$120.25–$228.80 $185–$352 varies
Critical care first hour (99291) $2,145 $3,300 2.6×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,912.95 $2,943 5.1×
Debridement Open Wound 20 Sq Cm< (97597) $377.65 $581 1.9×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574)
range across 2 matching MRF lines
$180.05–$245.05 $277–$377 varies
Dialysis One Evaluation (90945) $123.50 $190 0.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,064.70 $1,638 4.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $773.50 $1,190 7.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,645.15 $2,531 6.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,109.55 $1,707 10.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,234.35 $1,899 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $475.15 $731 4.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $287.95 $443 1.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $192.40 $296 1.8×
Duplex Scan Hemodialysis Access (93990) $249.60 $384 2.4×
Duplex up extrem art bilat (93930) $1,645.15 $2,531 6.9×
Duplex up extrem art unilat/ltd (93931) $1,419.60 $2,184 13.6×
Echo Heart Xthoracic,Limited (93308) $603.85 $929 2.5×
Echo transesophageal (93312)
range across 3 matching MRF lines
$923–$1,846 $1,420–$2,840 varies
Echo Transesophageal - Congenital Tee Complete (93315) $1,156.35 $1,779 2.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,964.95 $3,023 3.6×
EEG awake and asleep (95819) $1,795.95 $2,763 8.3×
EEG awake drowsy (95816) $512.20 $788 2.4×
EEG cont rec w/video by tech min 8 channels (95700) $512.20 $788 2.4×
EKG signal averaged (93278) $456.95 $703 7.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983)
range across 3 matching MRF lines
$33.15–$96.20 $51–$148 varies
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 3 matching MRF lines
$30.55–$87.10 $47–$134 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 4 matching MRF lines
$11.05–$51.35 $17–$79 varies
Electrical Stimulation Ea 15 Min (97032) $82.55 $127 5.6×
Electrocardiogram Tracing (93005) $239.85 $369 4.1×
Electrophysiology Evaluation (93642) $377.65 $581 0.3×
Emergency Dept Visit Level 2 (99282) $423.80 $652 2.8×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$637.65–$959.40 $981–$1,476 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$923.65–$1,993.22 $1,421–$3,066.50 varies
Emg 3 Extremities (95863) $962.65 $1,481 7.5×
Emg 4 Extremities (95864) $1,063.40 $1,636 8.3×
Ep & ablate supravent arrhyt (93653) $21,464.30 $33,022 0.8×
Ep & ablate ventric tachy (93654) $23,442.25 $36,065 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,692.15 $14,911 1.2×
Er level 1 (99281) $252.85 $389 3.0×
Er level v (99285)
range across 2 matching MRF lines
$1,264.90–$4,175.60 $1,946–$6,424 varies
Esophgl Balo Distension Dx Std W/Provocation (91040) $2,344.55 $3,607 6.3×
Evaluate pt use of inhaler (94664) $224.25 $345 1.0×
Evaluate Speech Production (92522) $152.10 $234 1.4×
Evaluate Swallowing Function (92610) $428.35 $659 5.0×
Evaluation of speech fluency (92521) $186.55 $287 1.4×
Evoked Auditory Test,Limited (92587) $176.15 $271 0.8×
External Ecg Scanning Analysis Report (93226) $926.90 $1,426 15.7×
Extracranial Bilat Study (93880) $957.45 $1,473 4.0×
Extracranial Uni/Ltd Study (93882) $378.95 $583 3.6×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,549.60 $2,384 1.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 3 matching MRF lines
$111.80–$2,211.95 $172–$3,403 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,155.70 $1,778 1.3×
Gi tract capsule endoscopy (91110)
range across 3 matching MRF lines
$581.10–$1,375.40 $894–$2,116 varies
Group Therapeutic Procedures (97150)
range across 24 matching MRF lines
$27.95–$137.15 $43–$211 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $19,136 $29,440 5.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,155.05 $1,777 1.7×
Holter monitor recording (93225) $344.50 $530 2.6×
Immunization administration (90471) $108.55 $167 1.5×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $574.60 $884 1.5×
Insert/Place Heart Catheter (93503) $243.75 $375 0.2×
Interrog eval crtd sins bat modulj sys ip w/ (93146) $9,514.70 $14,638 73.8×
Interrog eval crtd sins bat modulj sys ip wo (93145) $9,514.70 $14,638 73.8×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$103.35–$105.95 $159–$163 varies
Irrig Drug Delivery Device (96523) $134.55 $207 2.3×
IV infusion hydration each additional hour (96361) $190.45 $293 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $388.70 $598 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $314.60 $484 4.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $273.65 $421 5.8×
IV push initial (96374) $329.55 $507 1.5×
L Hrt Art/Grft Angio (93459) $14,868.75 $22,875 4.6×
Liver Elastography W/O Imag W/I&R (91200)
range across 2 matching MRF lines
$140.40–$445.25 $216–$685 varies
Lwr Xtr Vasc Stdy Bilat (93924) $700.05 $1,077 3.2×
Mechanical chest wall oscillation per session (94669) $386.75 $595 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40.30 $62 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines
$24.05–$40.30 $37–$62 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $26.65 $41 1.6×
Methacholine challenge (94070) $880.10 $1,354 2.4×
Motility study esophagus (91010) $1,329.25 $2,045 3.6×
Motion Fluoroscopy/Swallow (92611) $428.35 $659 4.7×
Multiple Sleep Latency Test (95805) $3,228.55 $4,967 3.8×
Muscle Test 2 Limbs (95861) $269.10 $414 2.0×
Muscle Test Nonparaspinal (95870) $253.50 $390 1.9×
Muscle Test One Limb (95860) $761.15 $1,171 5.7×
Needle electromyography larynx (95865) $222.30 $342 1.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869)
range across 3 matching MRF lines
$57.20–$248.95 $88–$383 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $832 $1,280 2.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $832 $1,280 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $599.30 $922 3.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $766.35 $1,179 1.9×
Nerve Conduction Studies 1-2 Studies (95907)
range across 3 matching MRF lines
$63.05–$622.05 $97–$957 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 3 matching MRF lines
$144.30–$2,696.20 $222–$4,148 varies
Nerve conduction studies 13 or more studies (95913)
range across 3 matching MRF lines
$166.40–$3,110.25 $256–$4,785 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 3 matching MRF lines
$65.65–$1,115.40 $101–$1,716 varies
Nerve conduction studies 5-6 studies (95909)
range across 3 matching MRF lines
$87.10–$1,451.45 $134–$2,233 varies
Nerve conduction studies 7-8 studies (95910)
range across 3 matching MRF lines
$102.70–$1,866.15 $158–$2,871 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 3 matching MRF lines
$123.50–$2,280.85 $190–$3,509 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 3 matching MRF lines
$61.10–$280.15 $94–$431 varies
Neuromuscular Reeducation (97112) $115.05 $177 3.5×
Newborn resuscitation (99465) $440.70 $678 0.7×
Nitric oxide expired gas determination (95012) $126.10 $194 3.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $574.60 $884 1.5×
Oral Function Therapy (92526) $230.75 $355 2.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $82.55 $127 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $102.05 $157 2.2×
Ot eval high complexity (97167) $224.25 $345 2.2×
Ot Eval Low Complex (97165) $224.25 $345 2.2×
Ot Eval Moderate Complexity (97166) $224.25 $345 2.2×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$82.55–$120.25 $127–$185 varies
Ot paraffin bath (97018) $42.25 $65 7.0×
Ot Prosthetic Training, Each 15 Min (97761) $102.05 $157 2.5×
Ot Re-Eval Est Plan Care (97168) $224.25 $345 3.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $303.55 $467 2.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $303.55 $467 2.4×
Pdt dstr prmlg les phys/qhp (96573)
range across 2 matching MRF lines
$157.30–$199.55 $242–$307 varies
Pdt dstr prmlg les skn illum/activj per day (96567)
range across 2 matching MRF lines
$96.85–$180.05 $149–$277 varies
Peripheral arterial disease rehab per session (93668) $147.55 $227 2.5×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
likely a partial charge, not the full procedure
$4,407 $6,780 0.2×
Perq Transcath Cls Mitral (93590) $34,938.80 $53,752 1.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
likely a partial charge, not the full procedure
$1,294.80 $1,992 0.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $21,434.40 $32,976 1.9×
Phlebotomy therapeutic (99195) $151.45 $233 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $261.30 $402 4.4×
Physical Performance Test (97750) $90.35 $139 2.7×
Plethysmography (94726) $804.70 $1,238 2.2×
Pm device eval in person (93288) $276.90 $426 7.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,773.65 $10,421 7.9×
Polysom <6 yrs 4/> paramtrs (95782) $5,074.55 $7,807 5.9×
Prq Card Angio/Athrect 1 Art (92924) $6,930.30 $10,662 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $14,674.40 $22,576 1.3×
Prq Card Stent/Ath/Angio (92933) $20,140.90 $30,986 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $20,140.90 $30,986 1.7×
Prq trl rvs ch occ ant&rtrgr (92945) $7,471.75 $11,495 0.6×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$143.65–$165.75 $221–$255 varies
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines
$133.90–$143.65 $206–$221 varies
Pt Eval High Complex (97163) $247.65 $381 2.5×
Pt eval low complex 20 min (97161) $247.65 $381 2.5×
Pt Eval Mod Complex (97162) $247.65 $381 2.5×
Pt gait training 15 min (97116) $118.30 $182 4.1×
Pt mechanical traction (97012) $82.55 $127 5.7×
Pt Re-Eval Est Plan Care (97164) $247.65 $381 3.7×
Pulmonary service/procedure (94799)
range across 5 matching MRF lines
$70.20–$191.75 $108–$295 varies
Pulmonary Stress Testing (94618) $454.35 $699 3.4×
R Hrt Art/Grft Angio (93457) $15,398.50 $23,690 4.7×
R hrt coronary artery angio (93456) $13,044.20 $20,068 4.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $13,191.10 $20,294 4.1×
Right Heart Cath (93451) $3,877.25 $5,965 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $185.25 $285 0.9×
Self Care Mngment Training (97535) $123.50 $190 3.8×
Sensory Integration Ea 15 Min (97533) $82.55 $127 1.4×
Short-latency somatosens ep std upr limbs (95925) $874.90 $1,346 4.0×
Sleep study unattended (95806) $492.70 $758 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $657.80 $1,012 3.0×
Somatosensory Testing (95938) $949 $1,460 1.1×
Speech sound lang comprehen (92523) $313.95 $483 1.4×
Spirometry (94010) $466.70 $718 2.2×
Ssep lower limbs (95926) $922.35 $1,419 4.3×
Standardized Cognitive Performance Testing (96125) $278.20 $428 2.7×
Stress Tte Only (93350) $1,134.90 $1,746 2.1×
Surfactant Admin Thru Tube (94610) $39 $60 0.2×
Temp transcutaneous pacing (92953) $718.90 $1,106 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $104.65 $161 4.7×
Ther Ivntj Ea Addl 15 Min (97130) $45.50 $70 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $174.20 $268 2.4×
Ther/Proph/Diag Iv Inf Init (96365) $577.20 $888 2.7×
Therapeutic Activities (97530) $137.15 $211 3.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,840.15 $2,831 4.9×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$21.45–$48.10 $33–$74 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$11.70–$50.70 $18–$78 varies
Transcath Closure of Asd (93580) $14,353.30 $22,082 0.8×
Tte w/doppler, complete (93306) $2,038.40 $3,136 3.7×
Tte W/O Doppler Complete (93307) $1,153.75 $1,775 4.8×
Tx atrial fib pulm vein isol (93656) $17,609.15 $27,091 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $245.70 $378 3.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $245.70 $378 10.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $229.45 $353 4.9×
Tympanometry (92567) $55.90 $86 1.5×
Unlis neurological/neuromuscular dx px (95999) $413.40 $636 3.2×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$3,382.60–$23,396.75 $5,204–$35,995 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $140.40 $216 1.1×
Upr/L Xtremity Art 2 Levels (93922) $495.30 $762 3.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,008.15 $1,551 4.7×
Veeg 2-12 hr unmonitored (95711) $512.20 $788 2.4×
Veeg Ea 12-26 Hr Unmntr (95714) $982.80 $1,512 2.6×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$1,047.15–$2,470.65 $1,611–$3,801 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$871–$1,277.90 $1,340–$1,966 varies
Visual Evoked Potential Test (95930) $873.60 $1,344 4.0×
Vital capacity, total (94150) $41.60 $64 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $52 $80 1.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.