Low-complexity outpatient consultation, unscheduled visit 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 Low 30-39 Min Pf

Ozark, MO

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Springfield’s median price of $92 is 40% below the median hospital's median price ($155), higher than 16% of the 1,118 hospitals reporting CPT 99243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99243 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 15 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 · case rate · outpatient	$5	$5	—	—	—	$5 – $5
2	Medicare hb sprg medicare facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
3	Tricare hb sprg tricare facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
4	WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
5	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$62	$62	$5	8%	—	$57 – $67
6	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$65	$63	$6	9%	—	$55 – $69
7	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	$6	8%	—	$70 – $83
8	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	$6	8%	—	$70 – $83
9	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	$6	8%	—	$70 – $83
10	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	$6	8%	—	$70 – $83
11	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	$6	8%	—	$70 – $83
12	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$83	$80	$7	9%	—	$70 – $87
13	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$92	$89	$8	9%	—	$78 – $97
14	Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
15	UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
16	UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
17	UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
18	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$112	$109	$10	9%	—	$95 – $118
19	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$114	$110	$10	9%	—	$97 – $120
20	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$111	$111	$9	8%	—	$102 – $120
21	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$10	8%	—	$107 – $126
22	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$127	$123	$11	9%	—	$108 – $134
23	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$127	$123	$11	9%	—	$108 – $134
24	Ambetter hb sprg ambetter exchange mo facility · case rate · outpatient	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k

Last updated: Jun 4, 2026

Compare to other hospitals

See Low-complexity outpatient consultation, unscheduled visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.