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
Insert Uterine Tandem/Vag Ovoids
Ozark, MO
See all hospitals reporting CPT 57155 →Price type
Mercy Hospital Springfield’s median price of $2.4k is 49% below the median hospital's median price ($4.8k), higher than 24% of the 1,752 hospitals reporting CPT 57155. 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, 38 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 | $227 | $227 | — | — | — | $227 – $227 |
| 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 | Humana hb sprg humana facility · fee schedule · outpatient | $825 | $825 | — | — | — | $825 – $825 |
| 5 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | MultiPlan hb sprg phcs (mpi) facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 10 | UnitedHealthcare hb sprg uhc individual exchange facility · other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 11 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 12 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 13 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 14 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 15 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 16 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 18 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 19 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 20 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 21 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 22 | Aetna hb sprg medicare facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 23 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 24 | Cigna hb sprg medicare facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 25 | Humana hb sprg humana medicare 100% facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
Last updated: Jun 4, 2026
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