Phone or online consultation with a physician 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

Ntrprof Ph1/Ntrnet/Ehr 5/> Mlp

Ozark, MO

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Springfield’s median price of $36 is 7% below the median hospital's median price ($39), higher than 40% of the 726 hospitals reporting CPT 99451. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99451 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 16 payers, 31 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	Tricare hb sprg tricare facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
2	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	$2	8%	—	$27 – $32
3	Medicaid hb sprg mo medicaid facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
4	WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
5	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	$2	8%	—	$28 – $33
6	Humana hb sprg humana medicare 100% facility · fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
7	UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
8	Aetna hb sprg medicare facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
9	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
10	Cigna hb sprg medicare facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
11	Devoted hb sprg devoted health medicare advantage 104% w/seq facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
12	Medica hb sprg lebn medica exchange facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
13	Medica hb sprg medicare facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
14	Medicare hb sprg medicare facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
15	UnitedHealthcare hb sprg medicare facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
16	UnitedHealthcare hb sprg uhc mcr 100% facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
17	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
18	Blue Cross Blue Shield hb sprg anthem blue preferred facility · fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
19	Blue Cross Blue Shield hb sprg anthem traditional facility · fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
20	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
21	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
22	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
23	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
24	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
25	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$49	$49	—	—	—	$49 – $49

Page 1 of 2 · 31 rates

Last updated: Jun 4, 2026

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