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
NM 111-in Pente Dtpa per .500mci
Ozark, MO
See all hospitals reporting HCPCS A9548 →Price type
Mercy Hospital Springfield’s median price of $1.1k is 6% below the median hospital's median price ($1.2k), higher than 47% of the 1,785 hospitals reporting HCPCS A9548. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 35 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 · fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $637 | $637 | — | — | — | $637 – $637 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $637 | $637 | — | — | — | $637 – $637 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $637 | $637 | — | — | — | $637 – $637 |
| 5 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $644 | $644 | — | — | — | $644 – $644 |
| 6 | Aetna hb sprg medicare facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 7 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 8 | Cigna hb sprg medicare facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 9 | Humana hb sprg humana medicare 100% facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 10 | Medica hb sprg medicare facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 11 | Medicare hb sprg medicare facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 12 | Tricare hb sprg tricare facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 13 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 14 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 15 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $754 | $754 | — | — | — | $754 – $754 |
| 16 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $761 | $761 | — | — | — | $761 – $761 |
| 17 | Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $852 | $852 | — | — | — | $852 – $852 |
| 18 | UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $852 | $852 | — | — | — | $852 – $852 |
| 19 | UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $852 | $852 | — | — | — | $852 – $852 |
| 20 | UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $852 | $852 | — | — | — | $852 – $852 |
| 21 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $961 | $961 | — | — | — | $961 – $961 |
| 22 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $990 | $990 | — | — | — | $990 – $990 |
| 23 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Jun 4, 2026
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