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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $14,461.20 $22,248 1.9×
Advance care planning first 30 mins (99497) $70.85 $109 0.7×
Aep Neurodiagnostic I&R (92653) $904.80 $1,392 4.2×
Airway inhalation treatment (94640) $192.40 $296 0.9×
Analyze neurostim no prog (95970) $71.50 $110 0.5×
Appl on-body injector for timed subq injection (96377) $104 $160 2.2×
Basic vestibular evaluation (92540) $597.35 $919 2.8×
Behav assmt w/score & docd/stand instrument (96127) $40.95 $63 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $157.30 $242 1.4×
Bis extracellular fluid alys lymphedema assmnt (93702) $277.55 $427 2.2×
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 bithermal (92537) $571.35 $879 4.4×
Caloric vestibular test w/rec bi monothermal (92538) $313.30 $482 1.4×
Capsule endoscopy (91110) $683.80 $1,052 0.8×
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) $805.68 $1,239.50 1.2×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $11,520.60 $17,724 3.5×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $13,044.20 $20,068 4.0×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $14,353.30 $22,082 0.8×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $14,868.75 $22,875 4.6×
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 Hormon Antineopl Sq/Im (96402) $147.55 $227 2.0×
Chemo IV push addl drug (96411) $199.55 $307 2.8×
Chemo Iv Push Sngl Drug (96409) $484.90 $746 1.5×
Chemother, IV infusion, 1 hr (96413) $1,000.35 $1,539 3.0×
Chemother, IV infusion, ea add hr (96415) $161.20 $248 2.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $384.48 $591.50 5.3×
Chemotx Admn Cns Req Spinal Puncture (96450) $725.40 $1,116 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $113.10 $174 1.6×
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 Monitoring Patient Provided Equipment (95249) $96.85 $149 1.6×
Continuous Glucose Monitoring (95250) $248.30 $382 1.9×
Coronary artery angio s&i (93454) $10,524.80 $16,192 3.2×
Cortical mapping 1st hr (95961) $1,549.60 $2,384 1.8×
Cpap initiation and management (94660) $532.35 $819 2.4×
Cpt initial (94667) $120.25 $185 0.9×
Critical care (99291) $2,145 $3,300 2.6×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $1,912.95 $2,943 5.1×
Dbrdmt prmlg les w/pdt (96574) $212.55 $327 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $377.65 $581 1.9×
Demo &/or eval,pt use,aerosol device (94664) $224.25 $345 1.0×
Dialysis other/than hemodialysis 1 phys/qhp eval (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,645.15 $2,531 6.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,419.60 $2,184 13.6×
Dup-scan xtr veins unilateral/limited study (93971) $475.15 $731 4.5×
Duplex hemodialysis access (93990) $249.60 $384 2.4×
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 extracranial art compl bi study (93880) $957.45 $1,473 4.0×
Echo Heart Xthoracic,Limited (93308) $603.85 $929 2.5×
Echo transesophageal (93312) $1,760.85 $2,709 3.2×
Echo Transesophageal - Congenital Tee Complete (93315) $1,156.35 $1,779 2.1×
EEG awake 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 (93005) $239.85 $369 4.1×
Ekg Signal Averaging (93278) $456.95 $703 7.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $39 $60 0.4×
Elec alys implt cplx cn npgt prgrmg (95977) $35.75 $55 0.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $46.15 $71 1.2×
EMG four extremities (95864) $1,063.40 $1,636 8.3×
EMG one extremity (95860) $761.15 $1,171 5.7×
EMG thoracic paraspinal (95869) $66.95 $103 0.3×
EMG three extremities (95863) $962.65 $1,481 7.5×
EMG two extremities (95861) $269.10 $414 2.0×
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×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $377.65 $581 0.3×
Er level 1 (99281) $252.85 $389 3.0×
Er level ii (99282) $423.80 $652 2.8×
Er level iii (99283) $798.52 $1,228.50 2.9×
Er level IV (99284) $1,458.44 $2,243.75 3.5×
Er level v (99285) $2,720.25 $4,185 4.6×
Esophgl balo distension dx std w/provocation (91040) $2,344.55 $3,607 6.3×
Evaluation of speech fluency (92521) $186.55 $287 1.4×
Evaluation of speech sound production (92522) $152.10 $234 1.4×
Evaluation of swallowing function (92610) $428.35 $659 5.0×
Evoked auditory test,limited (92587) $176.15 $271 0.8×
External Ecg Scanning Analysis Report (93226) $926.90 $1,426 15.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $131.95 $203 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,155.70 $1,778 1.3×
Group Therapeutic Procedures (97150) $137.15 $211 7.6×
Hemodialysis (90935) $1,155.05 $1,777 1.7×
Holter Monitor Recording (93225) $344.50 $530 2.6×
Immunization Admin (90471) $108.55 $167 1.5×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $574.60 $884 1.5×
Ins swan ganz bedside (93503) $243.75 $375 0.2×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93146) $9,514.70 $14,638 73.8×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93145) $9,514.70 $14,638 73.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $314.60 $484 4.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $577.20 $888 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $273.65 $421 5.8×
IV push initial (96374) $329.55 $507 1.5×
Liver elastography w/o imag w/i&r (91200) $292.82 $450.50 2.3×
Manual therapy 15 min (97140) $113.42 $174.50 4.1×
Mechanical chest wall oscillation (94669) $386.75 $595 1.8×
Mechanical traction (97012) $82.55 $127 5.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40.30 $62 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28.60 $44 0.8×
Methacholine challenge (94070) $880.10 $1,354 2.4×
Mnt Group Ea 30 Min (97804) $26.65 $41 1.6×
Motility study esophagus (91010) $1,329.25 $2,045 3.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $428.35 $659 4.7×
Multiple sleep latency test (95805) $3,228.55 $4,967 3.8×
Needle electromyography larynx (95865) $222.30 $342 1.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $253.50 $390 1.9×
Neg press wnd tx </=50 sq cm (97607) $832 $1,280 2.0×
Neg press wound tx >50 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 13/> studies (95913) $196.30 $302 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $77.35 $119 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $145.60 $224 0.4×
Nerve conduction studies; 1-2 studies (95907) $74.10 $114 0.3×
Nerve conduction studies; 11-12 studies (95912) $169.65 $261 0.5×
Nerve conduction studies; 5-6 studies (95909) $102.05 $157 0.5×
Nerve conduction studies; 7-8 studies (95910) $120.90 $186 0.3×
Neurological procedure unlisted (95999) $413.40 $636 3.2×
Neuromuscular junction test (95937) $72.15 $111 0.6×
Newborn resuscitation (99465) $440.70 $678 0.7×
Nitric oxide expired gas determination (95012) $126.10 $194 3.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $495.30 $762 3.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,008.15 $1,551 4.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $270.40 $416 2.1×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $574.60 $884 1.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $102.05 $157 2.2×
Ot eval high complex 60 min (97167) $224.25 $345 2.2×
Ot eval low complex 30 min (97165) $224.25 $345 2.2×
Ot eval mod complex 45 min (97166) $224.25 $345 2.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $82.55 $127 1.6×
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×
Paraffin bath (97018) $42.25 $65 7.0×
Pdt dstr prmlg les phys/qhp (96573) $178.42 $274.50 0.9×
Pdt dstr prmlg les skn illum/activj per day (96567) $138.45 $213 0.7×
Peripheral arterial disease rehab per session (93668) $147.55 $227 2.5×
Perq Transcath Cls Mitral (93590) $34,938.80 $53,752 1.9×
Phy/qhp op pulm rhb w/o mntr (94625) $261.30 $402 4.4×
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 revasc chronic 1vsl (92943) $21,434.40 $32,976 1.9×
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 tcat plmt ntrac st 2+les (92930)
likely a partial charge, not the full procedure
$4,407 $6,780 0.2×
Prq trl rvs ch occ ant&rtrgr (92945) $7,471.75 $11,495 0.6×
Prq trluml coronary angio/atherect one art/brnch (92924) $6,930.30 $10,662 0.6×
Prq trluml coronary angioplasty one art/branch (92920)
likely a partial charge, not the full procedure
$1,294.80 $1,992 0.2×
Psychiatric diagnostic evaluation (90791) $154.70 $238 0.9×
Psytx crisis initial 60 min (90839) $138.78 $213.50 0.8×
Pt Electric Current Therapy (97033) $104.65 $161 5.5×
Pt Electrical Stimulation (97032) $82.55 $127 5.6×
Pt eval high complex 45 min (97163) $247.65 $381 2.5×
Pt eval low complex 20 min (97161) $247.65 $381 2.5×
Pt Gait Training Therapy (97116) $118.30 $182 4.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $115.05 $177 3.5×
Pt Physical Performance Test (97750) $90.35 $139 2.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $247.65 $381 2.5×
Pt re-evaluation (97164) $247.65 $381 3.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $123.50 $190 3.8×
Pt Ultrasound Therapy (97035) $66.30 $102 4.6×
Pulmonary stress testing (94618) $454.35 $699 3.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $13,191.10 $20,294 4.1×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $16,782.35 $25,819 5.2×
R hrt art/grft angio (93457) $15,398.50 $23,690 4.7×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $19,136 $29,440 5.9×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $91 $140 0.7×
Sensory Integration Ea 15 Min (97533) $82.55 $127 1.4×
Short-latency somatosens ep std lwr limbs (95926) $922.35 $1,419 4.3×
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×
Smoking cessation > 10 min (99407) $25.35 $39 0.7×
Somatosensory testing (95938) $949 $1,460 1.1×
Speech group therapy (92508) $245.70 $378 10.2×
Speech sound lang comprehen (92523) $313.95 $483 1.4×
Spirometry (94010) $466.70 $718 2.2×
Standardized Cognitive Performance Testing (96125) $278.20 $428 2.7×
Stress echo (93350) $1,134.90 $1,746 2.1×
Stress Tte Complete (93351) $1,964.95 $3,023 3.6×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $45.50 $70 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $174.20 $268 2.4×
Therapeutic Activities (97530) $137.15 $211 3.9×
Therapeutic phlebotomy (99195) $151.45 $233 1.1×
Tilt Table Eval (93660) $1,840.15 $2,831 4.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $13.65 $21 0.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,038.40 $3,136 3.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $230.75 $355 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $229.45 $353 4.9×
Tympanometry (92567) $55.90 $86 1.5×
Ultraviolet Light Therapy (96900) $36.40 $56 1.0×
Unlisted Cardiovascular Service/Procedure (93799) $13,389.68 $20,599.50 103.9×
Unlisted Diagnostic Gastroenterology Procedure (91299) $140.40 $216 1.1×
Unlisted pulmonary service/procedure (94799) $81.25 $125 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,234.35 $1,899 5.2×
Vasc Duplex Scan Extracranial,Limited (93882) $378.95 $583 3.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $700.05 $1,077 3.2×
Veeg by tech 2-12 hours unmonitored (95711) $512.20 $788 2.4×
Veeg Ea 12-26 Hr Unmntr (95714) $982.80 $1,512 2.6×
Ventilation assist & mgmt inpatient 1st day (94002) $1,758.90 $2,706 2.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,074.45 $1,653 1.7×
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×