Southeast Hospital dba Mercy Hospital Southeast
Southeast Hospital dba Mercy Hospital Southeast in Cape Girardeau, MO publishes cash prices for 58 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1701 Lacey St Cape Girardeau MO 63701 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast | $1,080.95 | $1,663.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont | $1,565.20 | $2,408.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $984.75 | $1,515.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Diagnostic Bilat W Cad | $401.70 | $618.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Lt W Cad | $308.10 | $474.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Rt W Cad | $308.10 | $474.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi | $3,494.40 | $5,376.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt | $2,496.00 | $3,840.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt | $2,496.00 | $3,840.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Extr Lwr Jt W/WO Cont Bi | $4,428.45 | $6,813.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Lt | $2,923.05 | $4,497.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Rt | $2,923.05 | $4,497.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont | $2,189.20 | $3,368.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont | $2,919.80 | $4,492.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont | $2,332.20 | $3,588.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> | $1,190.15 | $1,831.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad | $239.20 | $368.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad | $303.55 | $467.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad | $187.20 | $288.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad | $187.20 | $288.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs <6 Hrs | $5,074.55 | $7,807.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs | $5,074.55 | $7,807.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $905.45 | $1,393.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $1,362.40 | $2,096.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $566.15 | $871.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $198.90 | $306.00 | 35% |
| Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total | $198.90 | $306.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $182.00 | $280.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $155.35 | $239.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff | $117.00 | $180.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $252.20 | $388.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $248.95 | $383.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $183.95 | $283.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $90.35 | $139.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $111.80 | $172.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $162.50 | $250.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing | $63.05 | $97.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time | $100.10 | $154.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mixing Test | $63.05 | $97.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $80.60 | $124.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn | $15.60 | $24.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone | $189.80 | $292.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $113.75 | $175.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Automated W Micro | $46.15 | $71.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $7.80 | $12.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $26.00 | $40.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $39.00 | $60.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $81.25 | $125.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $81.25 | $125.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $4.55 | $7.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $40.30 | $62.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 GI Colo Biopsy Snare Pf | $7,286.51 | $11,210.01 | 35% |
| Colonoscopy with tissue sample CPT 45380 GI Colo Biopsy Cold Pf | $6,996.60 | $10,764.00 | 35% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy | $5,406.71 | $8,318.01 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy Pf | $21,845.50 | $33,608.46 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Pf | $21,631.67 | $33,279.50 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $22,474.97 | $34,576.87 | 35% |
| Left heart catheterization, diagnostic one side CPT 93452 Lt Heart Cath Including Inj Lt Ventriculography, S/I | $8,923.85 | $13,729.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Interlaminar Lumbar or Sacral W Imag | $906.39 | $1,394.45 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Tx Epid/Subaracr Lmbr/Sac WO Imag | $1,912.95 | $2,943.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Bilat Inj Epi/Lumb/Sacral Sngl Level | $3,927.30 | $6,042.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,310.75 | $3,555.00 | 35% |
| Prostate biopsy CPT 55700 Bx Prostate Needle/Punch | $20,320.04 | $31,261.60 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing | $46,820.65 | $72,031.77 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Exc Breast Lesion Open 1 or > Mlp | $284.70 | $438.00 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Exc Breast Lesion Open 1 or >Pf | $335.40 | $516.00 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Exc Breast Lesion Open 1 or > | $3,428.75 | $5,275.00 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $36,222.13 | $55,726.35 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GI Egd W/Biopsy Pf | $7,903.79 | $12,159.68 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex | $6,098.96 | $9,383.01 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Psych Fam Ther W Pt 50min (Max Qty 2) Pf | $98.80 | $152.00 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 Psych Fam Ther W Pt 50min (Max Qty 2) | $143.65 | $221.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Mlp | $70.20 | $108.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Pf | $82.55 | $127.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt | $231.40 | $356.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Mlp | $104.65 | $161.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Pf | $123.50 | $190.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt | $384.80 | $592.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Mlp | $152.10 | $234.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Pf | $178.75 | $275.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt | $384.80 | $592.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Cpm Set Up Ea 15min | $127.40 | $196.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m | $127.40 | $196.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m | $127.40 | $196.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Psych Ther 30 Min With Patient Pf | $75.40 | $116.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Psych Ther 30 Min With Patient | $143.65 | $221.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 Psych Ther 45 Min With Patient Pf | $100.10 | $154.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 Psych Ther 45 Min With Patient | $143.65 | $221.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Psych Ther 60 Min With Patient | $143.65 | $221.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Psych Ther 60 Min With Patient Pf | $146.90 | $226.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Mlp | $91.00 | $140.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Pf | $107.25 | $165.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min | $131.30 | $202.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Mlp | $133.25 | $205.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Pf | $157.30 | $242.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min | $219.70 | $338.00 | 35% |