Physical therapy plan of care re-evaluation 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

At Re-Eval 120 Min

Ozark, MO

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How this price compares nationally

Mercy Hospital Springfield’s median price of $294 is 255% above the median hospital's median price ($83), higher than 94% of the 646 hospitals reporting CPT 97172. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97172 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 11 payers, 19 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 anthem pathways exchange facility · fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
2	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
3	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
4	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
5	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
6	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$219	$229	$95	42%	—	$102 – $405
7	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$226	$236	$98	42%	—	$105 – $418
8	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$278	$289	$120	42%	—	$129 – $513
9	UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient	$294	$294	—	—	—	$294 – $294
10	Optum hb sprg uhc all payer facility · per diem · outpatient	$315	$315	—	—	—	$315 – $315
11	UnitedHealthcare hb sprg uhc all payer facility · per diem · outpatient	$315	$315	—	—	—	$315 – $315
12	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$311	$324	$135	42%	—	$144 – $575
13	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$377	$394	$163	42%	—	$175 – $698
14	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$383	$399	$166	42%	—	$177 – $708
15	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$405	$422	$175	42%	—	$187 – $748
16	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$424	$442	$184	42%	—	$196 – $784
17	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$427	$446	$185	42%	—	$198 – $790
18	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$427	$446	$185	42%	—	$198 – $790
19	UnitedHealthcare hb sprg uhc options ppo facility · per diem · outpatient	$487	$487	—	—	—	$487 – $487

Last updated: Jun 4, 2026

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