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
Hdr Rdncl Ntrstl/Icav Brachytx Over 12 Chan
Ozark, MO
See all hospitals reporting CPT 77772 →Price type
Mercy Hospital Springfield’s median price of $4.6k is 295% above the median hospital's median price ($1.2k), higher than 90% of the 1,495 hospitals reporting CPT 77772. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 28 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 kancare healthy blue medicaid facility · fee schedule · outpatient | $405 | $405 | — | — | — | $405 – $405 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $520 | $520 | — | — | — | $520 – $520 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $520 | $520 | — | — | — | $520 – $520 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $520 | $520 | — | — | — | $520 – $520 |
| 5 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 6 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $593 | $593 | — | — | — | $593 – $593 |
| 7 | UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 8 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 9 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $976 | $976 | — | — | — | $976 – $976 |
| 10 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 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 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 16 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 17 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 18 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 19 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 20 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 21 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 22 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 23 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 24 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 25 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
Last updated: Jun 4, 2026
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