Laser treatment of a choroid lesion 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

Dest Local Lesion Chroid Pc 1/> Sess Pf

Ozark, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $536 is 33% below the median hospital's median price ($805), higher than 16% of the 1,457 hospitals reporting CPT 67220. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 67220 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 15 payers, 44 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 · case rate · outpatient	$5	$102	$138	135%	—	$5 – $297
2	Aetna hb sprg medicare facility · other · outpatient	$216	$216	—	—	—	$216 – $216
3	Blue Cross Blue Shield hb sprg medicare facility · other · outpatient	$216	$216	—	—	—	$216 – $216
4	Cigna hb sprg medicare facility · other · outpatient	$216	$216	—	—	—	$216 – $216
5	Humana hb sprg humana medicare 100% facility · other · outpatient	$216	$216	—	—	—	$216 – $216
6	Medica hb sprg medicare facility · other · outpatient	$216	$216	—	—	—	$216 – $216
7	Medicare hb sprg medicare facility · other · outpatient	$216	$216	—	—	—	$216 – $216
8	UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient	$216	$216	—	—	1–10	$216 – $216
9	Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient	$225	$225	—	—	—	$225 – $225
10	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
11	Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient	$286	$286	—	—	—	$286 – $286
12	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$359	$359	$29	8%	—	$330 – $388
13	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$370	$370	$30	8%	—	$340 – $400
14	WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient	$425	$425	—	—	—	$425 – $425
15	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$435	$435	$41	9%	—	$394 – $476
16	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$454	$454	$37	8%	—	$418 – $491
17	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$454	$454	$37	8%	—	$418 – $491
18	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$454	$454	$37	8%	—	$418 – $491
19	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$454	$454	$37	8%	—	$418 – $491
20	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
21	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
22	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
23	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient	$468	$468	—	—	—	$468 – $468
24	Medicaid hb sprg mo medicaid facility · fee schedule · outpatient	$468	$468	—	—	—	$468 – $468
25	UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient	$468	$468	—	—	—	$468 – $468

Page 1 of 2 · 44 rates

Last updated: Jun 4, 2026

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