Repair of eye wound using tissue glue at Mercy Hospital Springfield

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Rpr Lac Appl Glue Wnd Crnea&/Sclera Pf

Ozark, MO

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How this price compares nationally

Mercy Hospital Springfield’s median price of $252 is 90% below the median hospital's median price ($2.4k), higher than 1% of the 1,468 hospitals reporting CPT 65286. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 65286 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 15 payers, 43 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 · fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
2	Medicaid hb sprg/jopl ark medicaid facility · case rate · outpatient	$5	$102	$138	135%	—	$5 – $297
3	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	$10	8%	—	$111 – $130
4	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$124	$124	$10	8%	—	$114 – $134
5	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	$12	8%	—	$140 – $165
6	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	$12	8%	—	$140 – $165
7	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	$12	8%	—	$140 – $165
8	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	$12	8%	—	$140 – $165
9	UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient	$294	$294	—	—	—	$294 – $294
10	UnitedHealthcare hb sprg uhc all payer facility · per diem · outpatient	$315	$315	—	—	—	$315 – $315
11	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$388	$388	—	—	—	$388 – $388
12	UnitedHealthcare hb sprg uhc options ppo facility · per diem · outpatient	$487	$487	—	—	—	$487 – $487
13	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$599	$599	—	—	—	$599 – $599
14	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$599	$599	—	—	—	$599 – $599
15	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$599	$599	—	—	—	$599 – $599
16	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$165	$686	$755	110%	—	$140 – $1.8k
17	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges	$165	$686	$755	110%	—	$140 – $1.8k
18	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$184	$769	$846	110%	—	$157 – $2.0k
19	UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient	$907	$907	—	—	1–10	$907 – $907
20	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$224	$933	$1.0k	110%	—	$190 – $2.4k
21	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$227	$947	$1.0k	110%	—	$193 – $2.4k
22	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$240	$1.0k	$1.1k	110%	—	$204 – $2.6k
23	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$251	$1.0k	$1.2k	110%	—	$214 – $2.7k
24	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$253	$1.1k	$1.2k	110%	—	$216 – $2.7k
25	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$253	$1.1k	$1.2k	110%	—	$216 – $2.7k

Page 1 of 2 · 43 rates

Last updated: Jun 4, 2026

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