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
POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION
Ozark, MO
See all hospitals reporting CPT 90713 →Price type
Mercy Hospital Springfield’s median price of $118 is 56% above the median hospital's median price ($76), higher than 69% of the 1,770 hospitals reporting CPT 90713. 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 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 6 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 7 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 8 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 9 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 10 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 11 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 12 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 13 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 14 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 15 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 16 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 17 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 18 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 19 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 20 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 21 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 22 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 23 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 24 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 25 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
Last updated: Jun 4, 2026
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