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
Venogram Epidural S/I
Ozark, MO
See all hospitals reporting CPT 75872 →Price type
Mercy Hospital Springfield’s median price of $1.1k is 69% above the median hospital's median price ($669), higher than 81% of the 1,450 hospitals reporting CPT 75872. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 27 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 | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 5 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 6 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 7 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 8 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 9 | Ambetter hb sprg ambetter exchange mo facility · fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 10 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 11 | Aetna hb sprg aetna commercial facility · fee schedule · outpatient | $490 | $490 | — | — | — | $490 – $490 |
| 12 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 13 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 14 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $870 | $870 | — | — | — | $870 – $870 |
| 15 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $891 | $891 | — | — | — | $891 – $891 |
| 16 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 17 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $992 | $992 | — | — | — | $992 – $992 |
| 18 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $992 | $992 | — | — | — | $992 – $992 |
| 19 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Jun 4, 2026
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