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
Brachtx Iso Pln Simp 1-4src,Rem Aftld 1 Ch
Ozark, MO
See all hospitals reporting CPT 77316 →Price type
Mercy Hospital Springfield’s median price of $426 is 4% below the median hospital's median price ($446), higher than 47% of the 1,666 hospitals reporting CPT 77316. 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, 47 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 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $177 | $177 | $33 | 18% | — | $144 – $210 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $177 | $177 | $33 | 18% | — | $144 – $210 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $177 | $177 | $33 | 18% | — | $144 – $210 |
| 5 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $185 | $185 | $65 | 35% | — | $121 – $250 |
| 6 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 7 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 8 | Aetna hb sprg medicare facility · other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 9 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 10 | Cigna hb sprg medicare facility · other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 11 | Humana hb sprg humana medicare 100% facility · other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 12 | Medica hb sprg medicare facility · other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 13 | Medicare hb sprg medicare facility · other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 14 | Tricare hb sprg tricare facility · other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 15 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 16 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $368 | $368 | — | — | 2–20 | $368 – $368 |
| 17 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 18 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 19 | Humana hb sprg humana facility · fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 20 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 21 | Cigna hb sprg cigna hmo facility · per diem · outpatient | $475 | $475 | — | — | 1–10 | $475 – $475 |
| 22 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $487 | $487 | — | — | — | $487 – $487 |
| 23 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $515 | $515 | — | — | — | $515 – $515 |
| 24 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 25 | UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient | $692 | $692 | — | — | — | $692 – $692 |
Last updated: Jun 4, 2026
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