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
MRI Breast W Cont Lt
Ozark, MO
See all hospitals reporting HCPCS C8903 →Price type
Mercy Hospital Springfield’s median price of $2.0k is 540% above the median hospital's median price ($305), higher than 93% of the 1,345 hospitals reporting HCPCS C8903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 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 mo medicaid facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 2 | Humana hb sprg humana medicare 100% facility · other · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 3 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 4 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 5 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 6 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $402 | $402 | — | — | — | $402 – $402 |
| 7 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 8 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 9 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $639 | $639 | — | — | — | $639 – $639 |
| 10 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $726 | $726 | — | — | — | $726 – $726 |
| 11 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $726 | $726 | — | — | — | $726 – $726 |
| 12 | Medica hb sprg lebn medica exchange facility · per diem · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Aetna hb sprg aetna commercial facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 19 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 20 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 21 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 22 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 23 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 24 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Jun 4, 2026
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