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
Imrt Plan W Dose Vol Histograms
Ozark, MO
See all hospitals reporting CPT 77301 →Price type
Mercy Hospital Springfield’s median price of $1.7k is 27% below the median hospital's median price ($2.4k), higher than 36% of the 1,948 hospitals reporting CPT 77301. 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 | UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 2 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $733 | $733 | — | — | — | $733 – $733 |
| 3 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $752 | $752 | — | — | — | $752 – $752 |
| 4 | Optum hb sprg uhc all payer facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | UnitedHealthcare hb sprg uhc all payer facility · per diem · outpatient | $1.1k | $1.1k | — | — | 39 | $1.1k – $1.1k |
| 6 | UnitedHealthcare hb sprg uhc options ppo facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 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 | — | — | 2–20 | $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 | — | — | 2–20 | $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 | — | — | 2–20 | $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 | — | — | 69 | $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 missouri care plan/healthy blue facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
Last updated: Jun 4, 2026
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