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
Int Rep Nk/Hds/Ft/Eg 2.5cm/< Mlp
Ozark, MO
See all hospitals reporting CPT 12041 →Price type
Mercy Hospital Springfield’s median price of $289 is 41% below the median hospital's median price ($486), higher than 13% of the 2,473 hospitals reporting CPT 12041. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 34 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 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 2 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 3 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 4 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 5 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 6 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $262 | $262 | — | — | — | $262 – $262 |
| 7 | Medicaid hb sprg/jopl ark medicaid facility · case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 8 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $318 | $318 | — | — | — | $318 – $318 |
| 9 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $323 | $323 | — | — | — | $323 – $323 |
| 10 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 11 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 12 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $341 | $341 | — | — | — | $341 – $341 |
| 13 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 14 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $360 | $360 | — | — | — | $360 – $360 |
| 15 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $360 | $360 | — | — | — | $360 – $360 |
| 16 | Humana hb sprg humana facility · fee schedule · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 17 | Aetna hb sprg medicare facility · other · outpatient | $399 | $399 | — | — | 1–10 | $399 – $399 |
| 18 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 19 | Cigna hb sprg medicare facility · other · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 20 | Humana hb sprg humana medicare 100% facility · other · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 21 | Medica hb sprg medicare facility · other · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 22 | Medicare hb sprg medicare facility · other · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 23 | Tricare hb sprg tricare facility · other · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 24 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 25 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $399 | $399 | — | — | 1–10 | $399 – $399 |
Last updated: Jun 4, 2026
See Intermediate wound repair, hands/feet/neck/genitals, up to 2.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.