RC 624
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
Ide#G130005 Nct03298477 Crtg Polymer Nellix 40ml
Ozark, MO
See all hospitals reporting RC 624 →Price type
Mercy Hospital Springfield’s median price of $1 is 100% below the median hospital's median price ($1.1k), higher than 17% of the 423 hospitals reporting RC 624. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 15 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 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $0 | $2.1k | $4.2k | 198% | — | $0 – $10.7k |
| 2 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $0 | $2.2k | $4.3k | 198% | — | $0 – $11.0k |
| 3 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2.7k | $5.3k | 198% | — | $1 – $13.5k |
| 4 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2.7k | $5.3k | 198% | — | $1 – $13.5k |
| 5 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2.7k | $5.3k | 198% | — | $1 – $13.5k |
| 6 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2.7k | $5.3k | 198% | — | $1 – $13.5k |
| 7 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2.7k | $5.3k | 198% | — | $1 – $13.5k |
| 8 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2.7k | $5.3k | 198% | — | $1 – $13.5k |
| 9 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1 | $3.0k | $5.9k | 198% | — | $1 – $15.1k |
| 10 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1 | $3.6k | $7.2k | 198% | — | $1 – $18.4k |
| 11 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1 | $3.7k | $7.3k | 198% | — | $1 – $18.6k |
| 12 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1 | $3.9k | $7.7k | 198% | — | $1 – $19.7k |
| 13 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1 | $4.1k | $8.1k | 198% | — | $1 – $20.6k |
| 14 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1 | $4.1k | $8.2k | 198% | — | $1 – $20.8k |
| 15 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $4.1k | $8.2k | 198% | — | $1 – $20.8k |
Last updated: Jun 4, 2026
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