Graft Skin Apligraf per Sqcm(44sqcm) at Mercy Hospital Springfield

Ozark, MO

See all hospitals reporting HCPCS Q4101 →

Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Springfield’s median price of $49 is 60% below the median hospital's median price ($120), higher than 16% of the 1,906 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 15 payers, 28 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	$29	$29	—	—	—	$29 – $29
2	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
3	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
4	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
5	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
6	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
7	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
8	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
9	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
10	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
11	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
12	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
13	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
14	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
15	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
16	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
17	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
18	Aetna hb sprg medicare facility · other · outpatient	$125	$125	—	—	—	$125 – $125
19	Blue Cross Blue Shield hb sprg medicare facility · other · outpatient	$125	$125	—	—	—	$125 – $125
20	Cigna hb sprg medicare facility · other · outpatient	$125	$125	—	—	—	$125 – $125
21	Humana hb sprg humana medicare 100% facility · other · outpatient	$125	$125	—	—	—	$125 – $125
22	Medica hb sprg medicare facility · other · outpatient	$125	$125	—	—	—	$125 – $125
23	Medicare hb sprg medicare facility · other · outpatient	$125	$125	—	—	—	$125 – $125
24	Tricare hb sprg tricare facility · other · outpatient	$125	$125	—	—	—	$125 – $125
25	UnitedHealthcare hb sprg medicare facility · other · outpatient	$125	$125	—	—	—	$125 – $125

Page 1 of 2 · 28 rates

Last updated: Jun 4, 2026

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