Xenon-133 gas for diagnostic imaging 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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

NM Xenon Xe-133 Gas per 10mci

Ozark, MO

See all hospitals reporting HCPCS A9558 →

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $253 is 18% below the median hospital's median price ($309), higher than 36% of the 1,449 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9558 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 10 payers, 17 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	$26	$26	—	—	—	$26 – $26
2	Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
3	UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
4	UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
5	UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
6	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$175	$175	—	—	—	$175 – $175
7	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
8	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$248	$248	—	—	—	$248 – $248
9	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$301	$301	—	—	—	$301 – $301
10	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$323	$323	—	—	—	$323 – $323
11	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$338	$338	—	—	—	$338 – $338
12	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$341	$341	—	—	—	$341 – $341
13	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$372	$372	—	—	—	$372 – $372
14	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$372	$372	—	—	—	$372 – $372
15	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$372	$372	—	—	—	$372 – $372
16	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$452	$452	—	—	—	$452 – $452
17	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$452	$452	—	—	—	$452 – $452

Last updated: Jun 4, 2026

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