Outpatient office consultation, straightforward complexity 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

New/Est Office/OP Cnslt Sf 20-29 Min Pf

Ozark, MO

See all hospitals reporting CPT 99242 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Springfield’s median price of $79 is 28% below the median hospital's median price ($111), higher than 34% of the 1,109 hospitals reporting CPT 99242. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99242 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 15 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.

Filter by billing methodology

Filter by billing class

#
1	Medicaid hb sprg/jopl ark medicaid facility · case rate · outpatient	$5	$5	—	—	—	$5 – $5
2	Medicare hb sprg medicare facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
3	Tricare hb sprg tricare facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
4	WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
5	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$49	$47	$4	8%	—	$42 – $50
6	Medica hb sprg ubh commercial facility · fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
7	Blue Cross Blue Shield hb sprg anthem blue preferred facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
8	Blue Cross Blue Shield hb sprg anthem traditional facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
9	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
10	Cigna hb sprg cigna hmo facility · fee schedule · outpatient	$99	$78	$30	38%	—	$36 – $99
11	Cigna hb sprg cigna ppo facility · fee schedule · outpatient	$99	$78	$30	38%	—	$36 – $99
12	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
13	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
14	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
15	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
16	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
17	Medicaid hb sprg mo medicaid facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
18	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
19	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
20	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
21	Humana hb sprg humana facility · fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
22	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
23	UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
24	Aetna hb sprg aetna commercial facility · fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
25	First Health hb sprg aetna first health-network access facility · fee schedule · outpatient	$106	$106	—	—	—	$106 – $106

Page 1 of 2 · 27 rates

Last updated: Jun 4, 2026

Compare to other hospitals

See Outpatient office consultation, straightforward complexity pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.