RC 401
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
Mamm Diagnostic Unilat Lt W Cad
Ozark, MO
See all hospitals reporting RC 401 →Price type
Mercy Hospital Springfield’s median price of $100 is 42% below the median hospital's median price ($172), higher than 14% of the 1,787 hospitals reporting RC 401. 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, 37 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 · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 3 | Cigna hb sprg medicare facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 4 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 5 | Humana hb sprg humana medicare 100% facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 6 | Medica hb sprg medicare facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 7 | Medicare hb sprg medicare facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 8 | Tricare hb sprg tricare facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 9 | UnitedHealthcare hb sprg medicare facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 10 | UnitedHealthcare hb sprg uhc mcr 100% facility · fee schedule · outpatient | $42 | $45 | $35 | 78% | — | $11 – $94 |
| 11 | WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient | $48 | $52 | $40 | 78% | — | $12 – $107 |
| 12 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $48 | $52 | $6 | 11% | — | $48 – $60 |
| 13 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $57 | $60 | $20 | 34% | — | $41 – $93 |
| 14 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $57 | $60 | $20 | 34% | — | $41 – $93 |
| 15 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $57 | $60 | $20 | 34% | — | $41 – $93 |
| 16 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $72 | $76 | $40 | 52% | — | $37 – $133 |
| 17 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $73 | $78 | $48 | 61% | — | $31 – $145 |
| 18 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $95 | $102 | $64 | 63% | — | $40 – $193 |
| 19 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $95 | $102 | $64 | 63% | — | $40 – $193 |
| 20 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $95 | $102 | $64 | 62% | — | $40 – $193 |
| 21 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $95 | $102 | $64 | 62% | — | $40 – $193 |
| 22 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $118 | $126 | $66 | 52% | — | $62 – $220 |
| 23 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $122 | $129 | $68 | 52% | — | $64 – $226 |
| 24 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $122 | $130 | $80 | 61% | — | $52 – $243 |
| 25 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $122 | $130 | $80 | 61% | — | $52 – $243 |
Last updated: Jun 4, 2026
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