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
Aortogram Abd W Bil Iliofem S/I
Ozark, MO
See all hospitals reporting CPT 75630 →Price type
Mercy Hospital Springfield’s median price of $3.1k is 5% below the median hospital's median price ($3.2k), higher than 42% of the 2,147 hospitals reporting CPT 75630. 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, 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 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 6 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 7 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 9 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 10 | Ambetter hb sprg ambetter exchange mo facility · fee schedule · outpatient | $291 | $291 | — | — | — | $291 – $291 |
| 11 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 14 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 15 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | Aetna hb sprg medicare facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 18 | Cigna hb sprg medicare facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 19 | Humana hb sprg humana medicare 100% facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | Medica hb sprg medicare facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 21 | Medicare hb sprg medicare facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 22 | Tricare hb sprg tricare facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 23 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Jun 4, 2026
See Abdominal aortogram with runoff imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.