Dipyridamole injection, per 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.

Model: claude-sonnet-5-5
Provider: anthropic
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Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION

Ozark, MO

See all hospitals reporting HCPCS J1245 →

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $55 is 526% above the median hospital's median price ($9), higher than 82% of the 1,402 hospitals reporting HCPCS J1245. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1245 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 payers, 26 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 missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
2	Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
3	UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
4	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
5	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
6	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
7	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
8	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
9	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
10	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
11	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
12	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
13	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
14	Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
15	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
16	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
17	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
18	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
19	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
20	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
21	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
22	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
23	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
24	Cigna hb sprg cigna hmo facility · fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
25	Cigna hb sprg cigna ppo facility · fee schedule · outpatient	$90	$90	—	—	—	$90 – $90

Page 1 of 2 · 26 rates

Last updated: Jun 4, 2026

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