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
CT Limited/Localized Follow Up
Ozark, MO
See all hospitals reporting CPT 76380 →Price type
Mercy Hospital Springfield’s median price of $242 is 23% above the median hospital's median price ($197), higher than 57% of the 2,274 hospitals reporting CPT 76380. 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 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 3 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 5 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 6 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 8 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 9 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Aetna hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 12 | Cigna hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 13 | Humana hb sprg humana medicare 100% facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 14 | Medica hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 15 | Medicare hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Tricare hb sprg tricare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 17 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 18 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $86 | $86 | — | — | 2–20 | $86 – $86 |
| 19 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 20 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 21 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 22 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 23 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 24 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 25 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
Last updated: Jun 4, 2026
See CT scan follow-up, limited area pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.