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 Int 5-10src,Rem Aftld 2-12 Ch
Ozark, MO
See all hospitals reporting CPT 77317 →Price type
Mercy Hospital Springfield’s median price of $1.4k is 168% above the median hospital's median price ($513), higher than 84% of the 1,648 hospitals reporting CPT 77317. 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, 46 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 | $196 | $196 | — | — | — | $196 – $196 |
| 2 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 3 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $204 | $204 | $46 | 23% | — | $157 – $250 |
| 4 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 5 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $515 | $515 | — | — | — | $515 – $515 |
| 6 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 7 | UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 8 | Humana hb sprg humana facility · fee schedule · outpatient | $825 | $825 | — | — | — | $825 – $825 |
| 9 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Optum hb sprg uhc all payer facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | UnitedHealthcare hb sprg uhc all payer facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | UnitedHealthcare hb sprg uhc options ppo facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | MultiPlan hb sprg phcs (mpi) facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $2.3k | $2.3k | $2.1k | 92% | — | $190 – $4.4k |
| 25 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $2.3k | $2.3k | $2.1k | 92% | — | $190 – $4.4k |
Last updated: Jun 4, 2026
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