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
Xr Pelvis Complete Min 3 Views
Ozark, MO
See all hospitals reporting CPT 72190 →Price type
Mercy Hospital Springfield’s median price of $180 is 22% above the median hospital's median price ($147), higher than 61% of the 2,549 hospitals reporting CPT 72190. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 39 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 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 5 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 6 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 7 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 8 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 10 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 11 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 12 | Ambetter hb sprg ambetter exchange mo facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 13 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 14 | Aetna hb sprg medicare facility · other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 15 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 16 | Cigna hb sprg medicare facility · other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 17 | Humana hb sprg humana medicare 100% facility · other · outpatient | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 18 | Medica hb sprg medicare facility · other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 19 | Medicare hb sprg medicare facility · other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 20 | Tricare hb sprg tricare facility · other · outpatient | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 21 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 22 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 23 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 24 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 25 | Aetna hb sprg aetna commercial facility · fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
Last updated: Jun 4, 2026
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