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
3-D Radiotx Plan, Includ Dose-Volume Histograms3d
Ozark, MO
See all hospitals reporting CPT 77295 →Price type
Mercy Hospital Springfield’s median price of $1.5k is 7% below the median hospital's median price ($1.6k), higher than 43% of the 1,962 hospitals reporting CPT 77295. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 2 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 3 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 4 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 5 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $512 | $512 | — | — | — | $512 – $512 |
| 6 | UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 7 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $752 | $752 | — | — | — | $752 – $752 |
| 8 | Optum hb sprg uhc all payer facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | UnitedHealthcare hb sprg uhc all payer facility · per diem · outpatient | $1.1k | $1.1k | — | — | 20 | $1.1k – $1.1k |
| 10 | UnitedHealthcare hb sprg uhc options ppo facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Aetna hb sprg medicare facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Cigna hb sprg medicare facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Humana hb sprg humana medicare 100% facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Medica hb sprg medicare facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Medicare hb sprg medicare facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Tricare hb sprg tricare facility · other · outpatient | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 19 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $1.4k | $1.4k | — | — | 14 | $1.4k – $1.4k |
| 21 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Jun 4, 2026
See 3D radiation therapy treatment planning with dose-volume histogram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.