Aztreonam injection, 1 gram 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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Generated: October 20, 2026

Original text from hospital filings

AZTREONAM 1 GRAM SOLUTION FOR INJECTION

Ozark, MO

See all hospitals reporting HCPCS J0457 →

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How this price compares nationally

Mercy Hospital Springfield’s median price of $84 is 98% above the median hospital's median price ($42), higher than 62% of the 2,010 hospitals reporting HCPCS J0457. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0457 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 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	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
2	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
3	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
4	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
5	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
6	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
7	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
8	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
9	Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
10	UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
11	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
12	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
13	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
14	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
15	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
16	Cigna hb sprg cigna hmo facility · fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
17	Cigna hb sprg cigna ppo facility · fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
18	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
19	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$68	$68	—	—	—	$68 – $68
20	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
21	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
22	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
23	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
24	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129

Last updated: Jun 4, 2026

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