RC 972

X-ray of lower spine, professional fee 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

facility

Springfield, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $60 is 20% below the median hospital's median price ($75), higher than 36% of the 229 hospitals reporting RC 972. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 972 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 15 payers, 48 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	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$23	$30	$10	33%	—	$23 – $44
2	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$39	$36	$8	22%	643	$23 – $45
3	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$22	$39	$27	70%	—	$15 – $77
4	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$22	$39	$27	70%	—	$15 – $77
5	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$22	$39	$27	70%	—	$15 – $77
6	Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient	$46	$45	$25	55%	—	$16 – $72
7	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$24	$45	$28	63%	—	$16 – $78
8	Aetna hb sprg medicare facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
9	Cigna hb sprg medicare facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
10	Devoted hb sprg devoted health medicare advantage 104% w/seq facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
11	Humana hb sprg humana medicare 100% facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
12	Medica hb sprg medicare facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
13	Medicare hb sprg medicare facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
14	Tricare hb sprg tricare facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
15	UnitedHealthcare hb sprg medicare facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
16	UnitedHealthcare hb sprg uhc mcr 100% facility · fee schedule · outpatient	$49	$49	$29	59%	—	$20 – $78
17	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	—	—	1–10	$49 – $49
18	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$56	$51	$11	22%	88–97	$32 – $64
19	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$55	$55	$3	6%	639	$52 – $58
20	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	1–10	$55 – $55
21	WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient	$55	$55	$33	59%	—	$23 – $88
22	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$34	$61	$43	70%	—	$23 – $121
23	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$68	$62	$14	22%	—	$39 – $78
24	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$73	$66	$15	22%	74–83	$42 – $84
25	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$76	$69	$15	22%	56	$44 – $88

Page 1 of 2 · 48 rates

Last updated: Jun 4, 2026

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