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
Revasc Cabg Des/Ather/Angio Incl Distal Prot Rc
Ozark, MO
See all hospitals reporting HCPCS C9604 →Price type
Mercy Hospital Springfield’s median price of $12.5k is 13% below the median hospital's median price ($14.4k), higher than 37% of the 1,821 hospitals reporting HCPCS C9604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 28 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 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 2 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 3 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 4 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · case rate · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 5 | Aetna hb sprg medicare facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 6 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 7 | Cigna hb sprg medicare facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 8 | Humana hb sprg humana medicare 100% facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 9 | Medica hb sprg medicare facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 10 | Medicare hb sprg medicare facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 11 | Tricare hb sprg tricare facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 12 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 13 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $11.3k | $11.3k | — | — | 5–50 | $11.3k – $11.3k |
| 14 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 15 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 16 | Anthem hb sprg anthem alliance facility · case rate · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 17 | Blue Cross Blue Shield hb sprg anthem alliance facility · case rate · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 18 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 19 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 20 | Anthem hb sprg anthem blue access facility · case rate · outpatient | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 21 | Blue Cross Blue Shield hb sprg anthem blue access facility · case rate · outpatient | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 22 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
| 23 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 24 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 25 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
Last updated: Jun 4, 2026
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