Indocyanine green injection, 25 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-haiku-5-5
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

METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION

Ozark, MO

See all hospitals reporting HCPCS Q9968 →

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How this price compares nationally

Mercy Hospital Springfield’s median price of $436 is 1423% above the median hospital's median price ($29), higher than 80% of the 2,049 hospitals reporting HCPCS Q9968. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9968 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 16 payers, 35 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	$10	$10	—	—	—	$10 – $10
2	Blue Cross Blue Shield hb sprg medicare facility · other · outpatient	$10	$10	—	—	—	$10 – $10
3	Cigna hb sprg medicare facility · other · outpatient	$10	$10	—	—	—	$10 – $10
4	Humana hb sprg humana medicare 100% facility · other · outpatient	$10	$10	—	—	—	$10 – $10
5	Medica hb sprg medicare facility · other · outpatient	$10	$10	—	—	—	$10 – $10
6	Medicare hb sprg medicare facility · other · outpatient	$10	$10	—	—	—	$10 – $10
7	Tricare hb sprg tricare facility · other · outpatient	$10	$10	—	—	—	$10 – $10
8	UnitedHealthcare hb sprg medicare facility · other · outpatient	$10	$10	—	—	—	$10 – $10
9	UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient	$10	$10	—	—	—	$10 – $10
10	WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient	$10	$10	—	—	—	$10 – $10
11	Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient	$10	$10	—	—	—	$10 – $10
12	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$44	$44	$15	33%	—	$30 – $59
13	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$44	$44	$15	33%	—	$30 – $59
14	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$44	$44	$15	33%	—	$30 – $59
15	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	$11	5%	—	$195 – $218
16	Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	$11	5%	—	$195 – $218
17	UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	$11	5%	—	$195 – $218
18	Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$362	$362	$20	5%	—	$342 – $381
19	UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$362	$362	$20	5%	104	$342 – $381
20	UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$362	$362	$20	5%	—	$342 – $381
21	UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$362	$362	$20	5%	—	$342 – $381
22	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$408	$408	$22	5%	—	$386 – $431
23	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$421	$421	$23	5%	—	$397 – $444
24	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$517	$517	$28	5%	—	$488 – $545
25	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$517	$517	$28	5%	—	$488 – $545

Page 1 of 2 · 35 rates

Last updated: Jun 4, 2026

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