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
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION
Ozark, MO
See all hospitals reporting HCPCS Q2009 →Price type
Mercy Hospital Springfield’s median price of $85 is 464% above the median hospital's median price ($15), higher than 83% of the 2,096 hospitals reporting HCPCS Q2009. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 34 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 medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Cigna hb sprg medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Humana hb sprg humana medicare 100% facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Medica hb sprg medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Medicare hb sprg medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Tricare hb sprg tricare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $9 | $9 | $6 | 67% | — | $3 – $15 |
| 13 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $24 | $24 | $16 | 67% | — | $8 – $40 |
| 14 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $24 | $24 | $16 | 67% | — | $8 – $40 |
| 15 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $24 | $24 | $16 | 67% | — | $8 – $40 |
| 16 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $29 | $29 | $19 | 67% | — | $10 – $49 |
| 17 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $29 | $29 | $19 | 67% | — | $10 – $49 |
| 18 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $33 | $33 | $22 | 67% | — | $11 – $54 |
| 19 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $62 | $62 | $41 | 67% | — | $21 – $103 |
| 20 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $62 | $62 | $41 | 67% | — | $21 – $103 |
| 21 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $62 | $62 | $41 | 67% | — | $21 – $103 |
| 22 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $62 | $62 | $41 | 67% | — | $21 – $103 |
| 23 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $38 | 50% | — | $38 – $113 |
| 24 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $38 | 50% | — | $38 – $113 |
| 25 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $38 | 50% | — | $38 – $113 |
Last updated: Jun 4, 2026
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