Retinal photography with interpretation and report at Mercy Hospital Springfield

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fundus Photography W Interp and Report

Ozark, MO

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Springfield’s median price of $131 is 8% below the median hospital's median price ($143), higher than 36% of the 1,589 hospitals reporting CPT 92250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 92250 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 16 payers, 38 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	$14	$14	—	—	—	$14 – $14
2	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
3	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
4	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
5	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
6	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$15	$50	$51	102%	3–30	$13 – $122
7	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$15	$51	$52	102%	—	$13 – $125
8	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$19	$63	$64	102%	3–30	$16 – $154
9	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$19	$63	$64	102%	—	$16 – $154
10	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$19	$63	$64	102%	—	$16 – $154
11	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$19	$63	$64	102%	—	$16 – $154
12	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$19	$63	$64	102%	22	$16 – $154
13	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges	$19	$63	$64	102%	3–30	$16 – $154
14	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$21	$71	$72	102%	3–30	$18 – $172
15	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$26	$86	$88	102%	—	$22 – $209
16	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$26	$87	$89	102%	3–30	$22 – $213
17	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$28	$92	$94	102%	3–30	$23 – $225
18	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$29	$96	$98	102%	3–30	$24 – $235
19	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$29	$97	$99	102%	3–30	$25 – $237
20	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$29	$97	$99	102%	—	$25 – $237
21	Medicaid hb sprg mo medicaid facility · fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
22	Aetna hb sprg medicare facility · other · outpatient	$131	$131	—	—	3–30	$131 – $131
23	Blue Cross Blue Shield hb sprg medicare facility · other · outpatient	$131	$131	—	—	—	$131 – $131
24	Cigna hb sprg medicare facility · other · outpatient	$131	$131	—	—	—	$131 – $131
25	Humana hb sprg humana medicare 100% facility · other · outpatient	$131	$131	—	—	—	$131 – $131

Page 1 of 2 · 38 rates

Last updated: Jun 4, 2026

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