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
Dgtz Sld M/Phmtrc Tum Imhchem Ea Ab Stn
Ozark, MO
See all hospitals reporting CPT 0763T →Price type
Mercy Hospital Springfield’s median price of $171 is 180% above the median hospital's median price ($61), higher than 67% of the 538 hospitals reporting CPT 0763T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 19 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 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 3 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 4 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 5 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 6 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 7 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 8 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 9 | Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 10 | UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 11 | UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 12 | UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 13 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 14 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 15 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $207 | $207 | — | — | — | $207 – $207 |
| 16 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $219 | $219 | — | — | — | $219 – $219 |
| 17 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 18 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $231 | $231 | — | — | — | $231 – $231 |
| 19 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $231 | $231 | — | — | — | $231 – $231 |
Last updated: Jun 4, 2026
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