How many shoppable procedure prices are published for Mercy Hospital Southeast?

Mercy Hospital Southeast in Cape Girardeau, MO currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mercy Hospital Southeast's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mercy Hospital Southeast's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Mercy Hospital Southeast's CMS Care Compare overall star rating?

CMS Care Compare assigns Mercy Hospital Southeast an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 232 Beds · urban Updated: 6/11/2026

Mercy Hospital Southeast

1701 Lacey St, Cape Girardeau, MO 63701 · 109 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.30×vs. Fair Market Price

Typical commercial prices here are +30% above the fair benchmark (1.30×) even after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 38% of the Time

File Completeness100

Price Logic88

Peer Alignment75

Clean Billing87

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.30× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 4,022), Mercy Hospital Southeast commands a 1.30× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#59 of 79 in MO · 73rd State Percentile#2,246 of 3,385 in U.S. · 66th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.03× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 38% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 64% patient recommendation (61/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (19.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Captive ER (1.7×) & laboratory (1.6×) services average 1.25× higher multiples than routine shoppable care (1.2×)
Upper-quartile procedures (Q75 1.53×) jump +24% above the median procedure ratio (Q50 1.23×)
Consolidated metro market (HHI 4,022) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.25× Divergence

1.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+24% Upper Tail

Q25 1.03× · Q50 1.23× · Q75 1.53×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

38% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 61/100Elevated

Procedure Prices at Mercy Hospital Southeast

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$67,983	$32,701	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$28,782	$19,664	$19,087	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$14,466	$7,892	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$21,846	$7,686	$6,109	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$52,039	$7,145	$17,936	0.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$52,840	$7,145	$19,432	0.4×
Inguinal hernia repair CPT Code: `49505`	$21,632	$4,532	$3,629	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$22,475	$4,154	$3,372	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$7,904	$2,304	$987	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,995	$1,995	$855	unverified
Colonoscopy with biopsy CPT Code: `45380`	$6,997	$1,437	$1,256	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,075	$1,223	$1,021	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,900	$1,182	$981	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,038	$752	$583	1.3×
Blood transfusion CPT Code: `36430`	$789	$561	$498	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,081	$497	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,920	$497	$511	1.0×
Breast lump removal CPT Code: `19120`	$335	$500	$3,875	unverified
Rabies immune globulin HCPCS Code: `90375`	$4,061	$368	$322	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,234	$328	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,081	$338	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,332	$340	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,189	$340	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,995	$340	$369	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,633	$250	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,802	$250	$258	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,424	$187	$151	1.2×
X-ray, pelvis CPT Code: `72170`	$309	$140	$110	1.3×
X-ray, lower back CPT Code: `72110`	$566	$140	$112	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,060	$149	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$831	$149	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$437	$149	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,362	$149	$134	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,565	$149	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$985	$149	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,235	$149	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$2,012	$149	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,834	$149	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,822	$149	$169	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$155	$155	$185	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$162	$162	$201	unverified
X-ray, chest (single view) CPT Code: `71045`	$282	$120	$92	1.3×
X-ray, hip CPT Code: `73502`	$315	$120	$93	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$122	$122	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$145	$145	$181	unverified
X-ray, shoulder CPT Code: `73030`	$474	$116	$92	1.3×
X-ray, foot CPT Code: `73630`	$427	$116	$92	1.3×
Family therapy session CPT Code: `90847`	$121	$121	$173	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$240	$81	$64	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$246	$93	$86	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$237	$110	$123	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$402	$124	$148	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$83	$93	$110	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$239	$102	$123	0.8×
X-ray, chest (two views) CPT Code: `71046`	$349	$120	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$404	$116	$93	unverified
X-ray, hand CPT Code: `73130`	$453	$116	$93	unverified
X-ray, ankle CPT Code: `73610`	$428	$116	$93	unverified
Typhoid vaccine HCPCS Code: `90675`	$915	$383	$347	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$381	$227	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$311	$162	$111	1.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$92	$50	$39	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$71	$62	$49	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$156	$68	$56	1.2×
Orthotic fitting and training CPT Code: `97760`	$102	$59	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	$102	$52	$45	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$90	$43	$38	1.1×
Blood antibody screen CPT Code: `86850`	$75	$51	$46	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$215	$75	$87	0.9×
Blood test, vitamin D CPT Code: `82306`	$224	$49	$31	1.6×
Speech therapy (group session) CPT Code: `92508`	$246	$29	$27	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$115	$40	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$124	$39	$38	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$64	$38	$25	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$95	$54	$37	unverified
Flu vaccine injection HCPCS Code: `G0008`	$71	$62	$48	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$55	$55	$86	unverified
Blood test, calcium CPT Code: `82310`	$76	$9	$5	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$90	$7	$4	1.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$82	$10	$6	1.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$155	$13	$8	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$55	$8	$5	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$96	$16	$10	1.6×
Blood test, potassium CPT Code: `84132`	$56	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$55	$8	$5	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$157	$22	$14	1.6×
Blood test, lipase CPT Code: `83690`	$89	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$117	$11	$7	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$157	$25	$16	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$199	$14	$9	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$103	$28	$18	1.6×
Culture, bacterial CPT Code: `87070`	$94	$14	$9	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$252	$17	$11	1.5×
Culture, blood CPT Code: `87040`	$226	$17	$11	1.5×
Physical therapy (gait training) CPT Code: `97116`	$118	$35	$33	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$137	$42	$40	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$61	$6	$4	1.5×
Blood test, liver function panel CPT Code: `80076`	$184	$13	$9	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$127	$35	$35	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$107	$34	$34	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$72	$7	$5	1.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$64	$32	$33	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$163	$14	$35	0.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$182	$22	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$114	$5	$3	unverified
Blood test, amylase CPT Code: `82150`	$130	$11	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$137	$30	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	$43	$4	$3	unverified
Hepatitis C antibody test CPT Code: `86803`	$160	$24	$15	unverified

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 19.3%

Audit a Bill or Quote at Mercy Hospital Southeast (Zero PHI Required)

CMS CCN: 260110

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $67,983

Insurer Median $32,701

1. Amount on Your Bill or Quote ($) Pre-filled with Mercy Hospital Southeast’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $20,175 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $20,175

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (19.3% of gross = $20,175).

Step 2 · Cash vs. Insurance Arbitrage Save $36,607 Paying Cash

Self-Pay Cash Rate ($67,983) Beats Your Bill

Mercy Hospital Southeast's published 45 CFR § 180 self-pay cash rate is $67,983 (vs. $32,701 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$73,815 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($104,590) is $73,815 above the denoised Fair BaseRate ($30,775) and 4.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 430654874

Filing Period: 192907

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (19.3% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite61/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait160 min

Left ER Before Seen3%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (1,124 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Hospital Southeast.

Price Index: 1.04× regional baseline

Quality: 39/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Imagine 360 Contracted [320494]

-59.5%

Ebms Contracted [320493]

-44.2%

Reflect Health Contracted [320492]

-42.7%

Auxiant Contracted [320462]

-41.2%

Blue Cross Blue Shield

+68.7%

Aetna

+80.5%

Median Household Income$68,912U.S. Census ACS

Local Uninsured Share7.1%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 90/100 · Verified CMS CCN 260110 EIN 430654874

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 260110) ↗ Verify IRS Form 990 (EIN 430654874) ↗ CMS HCRIS Cost Reports ↗

Published MRF File430654874_mercy-hospital-southeast_standardcharges.zip!430654874_mercy-hospital-southeast_standardcharges.csv

Publication / Vintage6/11/2026 · 18.64 MB

Validated Rate Rows9,046 (CMS v3.0.0)

File Integrity Digest0aa2b921327800165924…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy