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
NM Cbp Imag W Eject Frac 1st Pass
Ozark, MO
See all hospitals reporting CPT 78496 →Price type
Mercy Hospital Springfield’s median price of $991 is 1156% above the median hospital's median price ($79), higher than 92% of the 1,221 hospitals reporting CPT 78496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 21 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 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 8 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 10 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 11 | Ambetter hb sprg ambetter exchange mo facility · fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 12 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 13 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $687 | $687 | — | — | — | $687 – $687 |
| 14 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $870 | $870 | — | — | — | $870 – $870 |
| 15 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $974 | $974 | — | — | — | $974 – $974 |
| 16 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Jun 4, 2026
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