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
ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION
Ozark, MO
See all hospitals reporting HCPCS J1430 →Price type
Mercy Hospital Springfield’s median price of $1.2k is 88% above the median hospital's median price ($622), higher than 82% of the 1,508 hospitals reporting HCPCS J1430. 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, 27 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 | $492 | $492 | — | — | — | $492 – $492 |
| 2 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $492 | $492 | — | — | — | $492 – $492 |
| 3 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $492 | $492 | — | — | — | $492 – $492 |
| 4 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 5 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 6 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 7 | Humana hb sprg humana medicare 100% facility · other · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 8 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $523 | $523 | — | — | — | $523 – $523 |
| 9 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $752 | $752 | — | — | — | $752 – $752 |
| 10 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $752 | $752 | — | — | — | $752 – $752 |
| 11 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $752 | $752 | — | — | — | $752 – $752 |
| 12 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $752 | $752 | — | — | — | $752 – $752 |
| 13 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 14 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 15 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 16 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $920 | $920 | — | — | — | $920 – $920 |
| 17 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $920 | $920 | — | — | — | $920 – $920 |
| 18 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $971 | $971 | — | — | — | $971 – $971 |
| 19 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Jun 4, 2026
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