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
GI Prolonged Ph Study W/Capsule
Ozark, MO
See all hospitals reporting CPT 91035 →Price type
Mercy Hospital Springfield’s median price of $1.2k is 24% above the median hospital's median price ($940), higher than 63% of the 1,917 hospitals reporting CPT 91035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 36 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 | $65 | $65 | — | — | — | $65 – $65 |
| 2 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $330 | $330 | — | — | — | $330 – $330 |
| 3 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 4 | Medica hb sprg lebn medica exchange facility · per diem · outpatient | $363 | $363 | — | — | 1–10 | $363 – $363 |
| 5 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 6 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 7 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 8 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $452 | $452 | — | — | 26 | $452 – $452 |
| 9 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $452 | $452 | — | — | — | $452 – $452 |
| 10 | UnitedHealthcare hb sprg uhc individual exchange facility · other · outpatient | $594 | $594 | — | — | 1–10 | $594 – $594 |
| 11 | UnitedHealthcare hb sprg uhc all payer facility · other · outpatient | $710 | $710 | — | — | 84 | $710 – $710 |
| 12 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $769 | $769 | — | — | — | $769 – $769 |
| 13 | Aetna hb sprg medicare facility · other · outpatient | $844 | $844 | — | — | 19 | $844 – $844 |
| 14 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $844 | $844 | — | — | 12 | $844 – $844 |
| 15 | Cigna hb sprg medicare facility · other · outpatient | $844 | $844 | — | — | — | $844 – $844 |
| 16 | Humana hb sprg humana medicare 100% facility · other · outpatient | $844 | $844 | — | — | 21 | $844 – $844 |
| 17 | Medica hb sprg medicare facility · other · outpatient | $844 | $844 | — | — | — | $844 – $844 |
| 18 | Medicare hb sprg medicare facility · other · outpatient | $844 | $844 | — | — | 26 | $844 – $844 |
| 19 | Tricare hb sprg tricare facility · other · outpatient | $844 | $844 | — | — | 1–10 | $844 – $844 |
| 20 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $844 | $844 | — | — | — | $844 – $844 |
| 21 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $844 | $844 | — | — | 43 | $844 – $844 |
| 22 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $870 | $870 | — | — | 1–10 | $870 – $870 |
| 23 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $878 | $878 | — | — | 1–10 | $878 – $878 |
| 24 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Jun 4, 2026
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