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.
Original text from hospital filings
Prgrmg Dev Eval Scrms Phys/Qhp Remote
Ozark, MO
See all hospitals reporting CPT 0650T →Price type
Mercy Hospital Springfield’s median price of $37 is 13% below the median hospital's median price ($42), higher than 16% of the 929 hospitals reporting CPT 0650T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 31 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 sprg/jopl ark medicaid facility · case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $25 | $28 | $7 | 25% | — | $21 – $38 |
| 3 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $26 | $29 | $7 | 25% | — | $22 – $39 |
| 4 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $32 | $35 | $9 | 25% | — | $27 – $48 |
| 5 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $32 | $35 | $9 | 25% | — | $27 – $48 |
| 6 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $32 | $35 | $9 | 25% | — | $27 – $48 |
| 7 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $32 | $35 | $9 | 25% | — | $27 – $48 |
| 8 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $32 | $35 | $9 | 25% | — | $27 – $48 |
| 9 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $32 | $35 | $9 | 25% | — | $27 – $48 |
| 10 | Aetna hb sprg medicare facility · other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $37 | $37 | — | — | 3–30 | $37 – $37 |
| 12 | Cigna hb sprg medicare facility · other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 13 | Humana hb sprg humana medicare 100% facility · other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 14 | Medica hb sprg medicare facility · other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 15 | Medicare hb sprg medicare facility · other · outpatient | $37 | $37 | — | — | 3–30 | $37 – $37 |
| 16 | Tricare hb sprg tricare facility · other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 17 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 18 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 19 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 20 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 21 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $35 | $39 | $10 | 25% | — | $30 – $53 |
| 22 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $43 | $48 | $12 | 25% | — | $36 – $65 |
| 23 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $43 | $49 | $12 | 25% | — | $37 – $66 |
| 24 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $46 | $51 | $13 | 25% | — | $39 – $69 |
| 25 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $48 | $54 | $14 | 25% | — | $40 – $73 |
Last updated: Jun 4, 2026
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