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
Brnchsc Brushing/Protected Brushings
Ozark, MO
See all hospitals reporting CPT 31623 →Price type
Mercy Hospital Springfield’s median price of $1.2k is 39% below the median hospital's median price ($2.0k), higher than 19% of the 2,056 hospitals reporting CPT 31623. 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, 37 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 | $114 | $114 | — | — | — | $114 – $114 |
| 2 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 3 | Medicaid hb sprg/jopl ark medicaid facility · case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 4 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $550 | $550 | — | — | — | $550 – $550 |
| 5 | UnitedHealthcare hb sprg uhc all payer facility · other · outpatient | $737 | $737 | — | — | 1–10 | $737 – $737 |
| 6 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $878 | $878 | — | — | — | $878 – $878 |
| 7 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $878 | $878 | — | — | — | $878 – $878 |
| 8 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $983 | $983 | — | — | — | $983 – $983 |
| 9 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $248 | 24% | 2–20 | $785 – $1.3k |
| 10 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 16 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Humana hb sprg humana facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 21 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 22 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 23 | Anthem hb sprg anthem alliance facility · case rate · outpatient | $4.3k | $4.3k | $2.1k | 48% | — | $2.2k – $6.4k |
| 24 | Blue Cross Blue Shield hb sprg anthem alliance facility · case rate · outpatient | $4.3k | $4.3k | $2.1k | 48% | — | $2.2k – $6.4k |
| 25 | Anthem hb sprg anthem blue access facility · case rate · outpatient | $4.9k | $4.9k | $2.2k | 46% | — | $2.7k – $7.1k |
Last updated: Jun 4, 2026
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