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
Ag Screen W Reagent Each Ag
Ozark, MO
See all hospitals reporting CPT 86902 →Price type
Mercy Hospital Springfield’s median price of $95 is 25% below the median hospital's median price ($127), higher than 46% of the 2,505 hospitals reporting CPT 86902. 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 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Medica hb sprg lebn medica exchange facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 10 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 12 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 13 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 14 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 15 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 16 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 17 | Aetna hb sprg aetna commercial facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 18 | Ambetter hb sprg ambetter exchange mo facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 19 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 20 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 21 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 22 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 23 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 24 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 25 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
Last updated: Jun 4, 2026
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