CT scan of pelvis with contrast dye 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

CT Pelvis W Cont

Ozark, MO

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How this price compares nationally

Mercy Hospital Springfield’s median price of $416 is 11% below the median hospital's median price ($469), higher than 46% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at Mercy Hospital Springfield

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	Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient	$101.17	$101.17	$101.17 – $101.17
2	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$146.54	$146.54	$146.54 – $146.54
3	Medicaid hb sprg mo medicaid facility · fee schedule · outpatient	$151.76	$151.76	$151.76 – $151.76
4	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$158.53	$158.53	$158.53 – $158.53
5	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$158.53	$158.53	$158.53 – $158.53
6	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$158.53	$158.53	$158.53 – $158.53
7	Aetna hb sprg medicare facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
8	Blue Cross Blue Shield hb sprg medicare facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
9	Cigna hb sprg medicare facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
10	Humana hb sprg humana medicare 100% facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
11	Medica hb sprg medicare facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
12	Medicare hb sprg medicare facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
13	Tricare hb sprg tricare facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
14	UnitedHealthcare hb sprg medicare facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
15	UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient	$172.35	$172.35	$172.35 – $172.35
16	WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient	$177.62	$177.62	$177.62 – $177.62
17	Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient	$179.37	$179.37	$179.37 – $179.37
18	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$198.88	$198.88	$198.88 – $198.88
19	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$228.10	$228.10	$228.10 – $228.10
20	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$228.10	$228.10	$228.10 – $228.10
21	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient	$250.40	$250.40	$250.40 – $250.40
22	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$254.00	$254.00	$254.00 – $254.00
23	UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient	$257.99	$257.99	$257.99 – $257.99
24	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$317.13	$317.13	$317.13 – $317.13
25	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$317.13	$317.13	$317.13 – $317.13

Page 1 of 2 · 39 rates

Last updated: Jun 4, 2026

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See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.