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
Comp Ep Eval Svt W/3d Mapping
Ozark, MO
See all hospitals reporting CPT 93653 →Price type
Mercy Hospital Springfield’s median price of $25.7k is 1% above the median hospital's median price ($25.4k), higher than 52% of the 1,951 hospitals reporting CPT 93653. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 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 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $684 | $684 | — | — | — | $684 – $684 |
| 3 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 4 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 5 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 6 | Aetna hb sprg aetna commercial facility · per diem · outpatient | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 7 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 8 | Medica hb sprg lebn medica exchange facility · per diem · outpatient | $19.3k | $19.3k | — | — | 1–10 | $19.3k – $19.3k |
| 9 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · case rate · outpatient | $19.9k | $19.9k | — | — | — | $19.9k – $19.9k |
| 10 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $20.3k | $20.3k | — | — | — | $20.3k – $20.3k |
| 11 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $20.9k | $20.9k | — | — | — | $20.9k – $20.9k |
| 12 | Anthem hb sprg anthem alliance facility · case rate · outpatient | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 13 | Blue Cross Blue Shield hb sprg anthem alliance facility · case rate · outpatient | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 14 | Aetna hb sprg medicare facility · other · outpatient | $25.7k | $25.7k | — | — | 16 | $25.7k – $25.7k |
| 15 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $25.7k | $25.7k | — | — | 1–10 | $25.7k – $25.7k |
| 16 | Cigna hb sprg medicare facility · other · outpatient | $25.7k | $25.7k | — | — | — | $25.7k – $25.7k |
| 17 | Humana hb sprg humana medicare 100% facility · other · outpatient | $25.7k | $25.7k | — | — | 15 | $25.7k – $25.7k |
| 18 | Medica hb sprg medicare facility · other · outpatient | $25.7k | $25.7k | — | — | — | $25.7k – $25.7k |
| 19 | Medicare hb sprg medicare facility · other · outpatient | $25.7k | $25.7k | — | — | 29 | $25.7k – $25.7k |
| 20 | Tricare hb sprg tricare facility · other · outpatient | $25.7k | $25.7k | — | — | — | $25.7k – $25.7k |
| 21 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $25.7k | $25.7k | — | — | — | $25.7k – $25.7k |
| 22 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $25.7k | $25.7k | — | — | 17 | $25.7k – $25.7k |
| 23 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $26.5k | $26.5k | — | — | — | $26.5k – $26.5k |
| 24 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $26.7k | $26.7k | — | — | 1–10 | $26.7k – $26.7k |
| 25 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $27.9k | $27.9k | — | — | — | $27.9k – $27.9k |
Last updated: Jun 4, 2026
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