CT scan of face and jaw with contrast dye at Mercy Hospital Ozark

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT Maxillofacial Area W Cont

Ozark, AR

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Ozark’s median price of $541 is 27% above the median hospital's median price ($427), higher than 57% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70487 at Mercy Hospital Ozark

Negotiated rates from the hospital’s own file: 17 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Medicaid hb ozkar ok medicaid facility · fee schedule · outpatient	$86.04	$86.04	$86.04 – $86.04
2	Anthem hb wldar,ozkar,prsar bcbs comm/exchange facility · fee schedule · outpatient	$174.94	$174.94	$174.94 – $174.94
3	Blue Cross Blue Shield hb wldar,ozkar,prsar bcbs comm/exchange facility · fee schedule · outpatient	$174.94	$174.94	$174.94 – $174.94
4	Medicaid hb ozkar ark medicaid facility · fee schedule · outpatient	$191.00	$191.00	$191.00 – $191.00
5	Caresource hb ozkar caresource medicaid facility · fee schedule · outpatient	$194.82	$194.82	$194.82 – $194.82
6	Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$410.00	$410.00	$410.00 – $410.00
7	UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$410.00	$410.00	$410.00 – $410.00
8	Aetna hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
9	Blue Cross Blue Shield hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
10	First Health hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
11	Humana hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
12	Medica hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
13	Medicare hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
14	Medicare hb ozkar medicare facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
15	UnitedHealthcare hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
16	UnitedHealthcare hb ozkar uhc mcr facility · percent of total billed charges · outpatientfrom % of charges	$540.88	$540.88	$540.88 – $540.88
17	WellCare hb ozkar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges	$557.03	$557.03	$557.03 – $557.03
18	Devoted hb ozkar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges	$562.54	$562.54	$562.54 – $562.54
19	Cigna hb ozkar healthspring cigna 105% mcr facility · percent of total billed charges · outpatientfrom % of charges	$567.86	$567.86	$567.86 – $567.86
20	Tricare hb ozkar tricare facility · percent of total billed charges · outpatientfrom % of charges	$580.90	$580.90	$580.90 – $580.90
21	Ambetter hb ozkar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$797.45	$797.45	$797.45 – $797.45
22	Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges	$1,280	$1,280	$1,280 – $1,280
23	Cigna hb wldar,ozkar,prsar cigna facility · percent of total billed charges · outpatientfrom % of charges	$1,674	$1,674	$1,674 – $1,674
24	Humana hb wldar,ozkar,prsar humana facility · percent of total billed charges · outpatientfrom % of charges	$1,674	$1,674	$1,674 – $1,674
25	MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges	$1,674	$1,674	$1,674 – $1,674

Last updated: Jun 8, 2026

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