Girardeau, MO
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Jun 12, 2026 | Oct 26, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Mercy Hospital Southeast’s price for it.
The codes Mercy Hospital Southeast has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Outpatient office visit, established patient, level 4CPT 99214 | $146 | $144 | $31 | 22% | 13,317–13,434 | $68 | $187 |
| Blood draw from a veinCPT 36415 | $11 | $10 | $4 | 39% | 7,702–7,792 | $3 | $16 |
| Outpatient office visit, established patientCPT 99213 | $99 | $98 | $23 | 24% | 4,435–4,543 | $46 | $133 |
| Yearly wellness visit with prevention plan follow-upHCPCS G0439 | $166 | $158 | $38 | 24% | 3,229–3,256 | $65 | $215 |
| Outpatient new patient office visitCPT 99204 | $217 | $198 | $41 | 21% | 952–1,024 | $94 | $244 |
| Immunization administrationCPT 90471 | $25 | $24 | $9 | 37% | 881–989 | $5 | $36 |
| Therapeutic or preventive subcutaneous or intramuscular injectionCPT 96372 | $23 | $24 | $8 | 35% | 797–869 | $5 | $35 |
| Complex office visit add-onHCPCS G2211 | $23 | $22 | $5 | 23% | 465–555 | $9 | $29 |
| Outpatient office visit, established patient, level 5CPT 99215 | $195 | $191 | $46 | 24% | 473–536 | $101 | $262 |
| Medroxyprogesterone acetate 150 mg/mL injectionHCPCS J1050 | $1 | $1 | $0 | 44% | 450 | $0 | $1 |
EIN: 431912860
Last updated: Jun 12, 2026
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Hospital ID: a93c1dbd03684375ec37b0745ce9195af2a431ba0e375b368e450b25c610aed6