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
Peri-Px Device Eval and Prgr
Ozark, MO
See all hospitals reporting CPT 93287 →Price type
Mercy Hospital Springfield’s median price of $238 is 165% above the median hospital's median price ($90), higher than 81% of the 1,407 hospitals reporting CPT 93287. 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, 24 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 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 6 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 7 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 8 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 9 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 10 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 11 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 12 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 13 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 14 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 15 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
| 16 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $288 | $288 | — | — | — | $288 – $288 |
| 17 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $304 | $304 | — | — | — | $304 – $304 |
| 18 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 19 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 20 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 21 | UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 22 | Optum hb sprg uhc all payer facility · per diem · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | UnitedHealthcare hb sprg uhc all payer facility · per diem · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 24 | UnitedHealthcare hb sprg uhc options ppo facility · per diem · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Jun 4, 2026
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