Injection of aztreonam with avibactam, 10 mg 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION

Ozark, MO

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How this price compares nationally

Mercy Hospital Springfield’s median price of $728 is 40128% above the median hospital's median price ($2), higher than 95% of the 646 hospitals reporting HCPCS J0458. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0458 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	Humana hb sprg humana medicare 100% facility · other · outpatient	$2	$2	—	—	—	$2 – $2
2	WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient	$2	$2	—	—	—	$2 – $2
3	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$322	$322	—	—	—	$322 – $322
4	Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$322	$322	—	—	—	$322 – $322
5	UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$322	$322	—	—	—	$322 – $322
6	Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient	$339	$339	$1	0%	—	$338 – $339
7	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$492	$492	$1	0%	—	$490 – $493
8	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$492	$492	$1	0%	—	$490 – $493
9	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$492	$492	$1	0%	—	$490 – $493
10	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$492	$492	$1	0%	—	$490 – $493
11	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$635	$635	—	—	—	$635 – $635
12	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$655	$655	—	—	—	$655 – $655
13	Cigna hb sprg cigna hmo facility · fee schedule · outpatient	$723	$723	$2	0%	—	$721 – $724
14	Cigna hb sprg cigna ppo facility · fee schedule · outpatient	$723	$723	$2	0%	—	$721 – $724
15	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$804	$804	—	—	—	$804 – $804
16	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$804	$804	—	—	—	$804 – $804
17	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$804	$804	—	—	—	$804 – $804
18	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$804	$804	—	—	—	$804 – $804
19	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges	$804	$804	—	—	—	$804 – $804
20	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$901	$901	—	—	—	$901 – $901
21	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
23	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: Jun 4, 2026

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