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
Ot Asst Techn Assess W/Rpt Ea
Ozark, MO
See all hospitals reporting CPT 97755 →Price type
Mercy Hospital Springfield’s median price of $113 is 150% above the median hospital's median price ($45), higher than 85% of the 1,476 hospitals reporting CPT 97755. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 27 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 mo medicaid facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 6 | WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 8 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 9 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 10 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 11 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 12 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 13 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 15 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 16 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 17 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · per diem · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 18 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 19 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 20 | Anthem hb sprg anthem alliance facility · per diem · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 21 | Blue Cross Blue Shield hb sprg anthem alliance facility · per diem · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 22 | Anthem hb sprg anthem blue access facility · per diem · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 23 | Blue Cross Blue Shield hb sprg anthem blue access facility · per diem · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 24 | UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 25 | Optum hb sprg uhc all payer facility · per diem · outpatient | $302 | $302 | — | — | — | $302 – $302 |
Last updated: Jun 4, 2026
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