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
HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN
Ozark, MO
See all hospitals reporting CPT 90647 →Price type
Mercy Hospital Springfield’s median price of $77 is 45% above the median hospital's median price ($53), higher than 67% of the 1,506 hospitals reporting CPT 90647. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 25 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 | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 7 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 10 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 12 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 13 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 14 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 15 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 16 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 17 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 18 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 19 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 20 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 21 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 22 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 23 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $109 | $109 | — | — | — | $109 – $109 |
| 24 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 25 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
Last updated: Jun 4, 2026
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