Apl(pml-rara) quant - sendout at Mercy Orthopedic Hospital Springfield
3050 E River Bluff Blvd, Ozark, MO · Mercy · · NPI 1578504056
$618.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$952.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$87.45 with MEDICAID [20240] vs $1,274.60 with MERCY BENEFIT ADMIN CONTRACTED [320251] — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $87.45 | ↓ -86% |
| MC ANTHEM [20455] | HB SPRG ANTHEM ALLIANCE | $91.37 | ↓ -85% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM ALLIANCE | $91.37 | ↓ -85% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM PATHWAYS EXCHANGE | $157.97 | ↓ -74% |
| AETNA MEDICAID CONTRACTED [320009] | HB SPRG OK MEDICAID | $184.40 | ↓ -70% |
| HUMANA MEDICAID CONTRACTED [320486] | HB SPRG OK MEDICAID | $184.40 | ↓ -70% |
| MEDICAID [20240] | HB SPRG OK MEDICAID | $184.40 | ↓ -70% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SPRG OK MEDICAID | $184.40 | ↓ -70% |
| MEDICAID [20240] | HB SPRG MO MEDICAID | $186.58 | ↓ -70% |
| MO MEDICAID BH CARVE OUT [320315] | HB SPRG MO MEDICAID | $186.58 | ↓ -70% |
| MEDICA [20239] | HB SPRG LEBN MEDICA EXCHANGE | $196.49 | ↓ -68% |
| MEDICA CONTRACTED [320239] | HB SPRG LEBN MEDICA EXCHANGE | $196.49 | ↓ -68% |
| CHAMPVA [20065] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| CROSS TIMBERS HOSPICE [20098] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB SPRG DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $203.37 | ↓ -67% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| HUMANA MEDICARE ADVANTAGE [20194] | HB SPRG HUMANA MEDICARE 100% | $203.37 | ↓ -67% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| HALO HCR INC HOSPICE [20432] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| BCBS MEDICARE ADVANTAGE [20047] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| ACENTRA HEALTH CONTRACTED [320527] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| KINDFUL HOSPICE [20434] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | $203.37 | ↓ -67% |
| MEDICARE [20244] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| CENTURION [20459] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| QUAL CHOICE CONTRACTED [320325] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| GLOBALHEALTH CONTRACTED [320145] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| AETNA MEDICARE ADVANTAGE [20010] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| MERCY REHAB HOSPITAL CONTRACTED [320260] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| TRICARE CONTRACTED [320380] | HB SPRG TRICARE | $203.37 | ↓ -67% |
| MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| MERCY HOSPICE OKC [20252] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SPRG UHC MCR 100% | $203.37 | ↓ -67% |
| INDIAN HEALTH SERVICE [20198] | HB SPRG MEDICARE | $203.37 | ↓ -67% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SPRG UHC ALL PAYER | $207.31 | ↓ -66% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SPRG UHC ALL PAYER | $207.31 | ↓ -66% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC ALL PAYER | $207.31 | ↓ -66% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SPRG & LEBN WELLCARE MCR 103% | $209.59 | ↓ -66% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SPRG NHC ADVANTAGE MCR 105% | $213.74 | ↓ -65% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SPRG PROVIDER PARTNERS PPHP 110% MCR | $224.10 | ↓ -64% |
| MC GENERIC ANTHEM [20456] | HB SPRG ANTHEM BLUE ACCESS | $236.13 | ↓ -62% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE ACCESS | $236.13 | ↓ -62% |
| MC ANTHEM [20455] | HB SPRG ANTHEM BLUE ACCESS | $236.13 | ↓ -62% |
| KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $238.00 | ↓ -62% |
| KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $238.00 | ↓ -62% |
| KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $238.00 | ↓ -62% |
| KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $238.00 | ↓ -62% |
| AETNA CONTRACTED [320008] | HB SPRG AETNA COMMERCIAL | $248.77 | ↓ -60% |
| AETNA [20008] | HB SPRG AETNA COMMERCIAL | $248.77 | ↓ -60% |
| HEALTHSCOPE CONTRACTED [320182] | HB SPRG DEC ORSCHELN 125% MCR | $255.20 | ↓ -59% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | $255.94 | ↓ -59% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | $255.94 | ↓ -59% |
| HOME STATE MEDICAID [20189] | HB SPRG HOME STATE HEALTH PLAN | $279.87 | ↓ -55% |
| HOME STATE MEDICAID CONTRACTED [320189] | HB SPRG HOME STATE HEALTH PLAN | $279.87 | ↓ -55% |
| BCBS MEDICAID [20046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $307.86 | ↓ -50% |
| BCBS MEDICAID CONTRACTED [320046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $307.86 | ↓ -50% |
| UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB SPRG UHC MO MEDICAID | $317.19 | ↓ -49% |
| CENTIVO CONTRACTED [320505] | HB SPRG CENTIVO 165% MEDICARE | $342.06 | ↓ -45% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB SPRG FEDERAL MEDICAL CENTER | $376.25 | ↓ -39% |
| HEALTH SYSTEMS INC CONTRACTED [320174] | HB SPRG HEALTH SYSTEMS | $380.80 | ↓ -38% |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB SPRG HEALTH SYSTEMS | $380.80 | ↓ -38% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB SPRG DEC OZARK COMMUNITY HOSPITAL | $380.80 | ↓ -38% |
| PROVIDRS CARE NETWORK CONTRACTED [320484] | HB SPRG PROVIDRS CARE | $393.89 | ↓ -36% |
| NOVASYS CONTRACTED [320285] | HB SPRG AMBETTER EXCHANGE MO | $398.04 | ↓ -36% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SPRG AMBETTER EXCHANGE MO | $398.04 | ↓ -36% |
| AMBETTER CONTRACTED [320452] | HB SPRG AMBETTER EXCHANGE MO | $398.04 | ↓ -36% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SPRG AMBETTER EXCHANGE MO | $398.04 | ↓ -36% |
| HEALTHLINK CONTRACTED [320179] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $414.62 | ↓ -33% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $414.62 | ↓ -33% |
| EBMS CONTRACTED [320493] | HB SPRG JOPL DEC CRADER DISTRIBUTION | $414.62 | ↓ -33% |
| REFLECT HEALTH CONTRACTED [320492] | HB SPRG JOPL DEC WW WOOD PRODUCTS NEW 1.1.26 | $414.62 | ↓ -33% |
| AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL DEC LACLEDE CHAIN NEW 7.1.25 | $414.62 | ↓ -33% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC EASTER SEALS | $414.62 | ↓ -33% |
| YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $414.62 | ↓ -33% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $414.62 | ↓ -33% |
| IMAGINE 360 CONTRACTED [320494] | HB SPRG JOPL DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $414.62 | ↓ -33% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $414.62 | ↓ -33% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC CITY OF JACKSON | $414.62 | ↓ -33% |
| YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC LEVEL HEALTH NEW 1.1.26 | $414.62 | ↓ -33% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC TALL TREE NEW 4.1.25 | $414.62 | ↓ -33% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC BUCHHEIT | $414.62 | ↓ -33% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CITY OF JACKSON | $414.62 | ↓ -33% |
| POINT C [20238] | HB SPRG DEC SRC HOLDINGS | $428.40 | ↓ -31% |
| POINT C CONTRACTED [320238] | HB SPRG DEC SRC HOLDINGS | $428.40 | ↓ -31% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MENNONITES | $428.40 | ↓ -31% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG AMISH | $428.40 | ↓ -31% |
| EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB SPRG EVOLUTIONS | $428.40 | ↓ -31% |
| POINT C CONTRACTED [320238] | HB SPRG MISSOURI STATE UNIVERSITY | $433.16 | ↓ -30% |
| POINT C CONTRACTED [320238] | HB SPRG DEC CITY OF SPRINGFIELD | $456.96 | ↓ -26% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MSU ATHLETES | $476.00 | ↓ -23% |
| WORKERS COMP [20426] | HB SPRG Cardinals Work Comp | $476.00 | ↓ -23% |
| MEDICAL DESTINATIONS CONTRACTED [320242] | HB SPRG MEDICAL DESTINATIONS | $476.00 | ↓ -23% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CLAYCO | $476.00 | ↓ -23% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB & HH SPRG LIBERTY UTILITIES | $495.04 | ↓ -20% |
| FIRST HEALTH CONTRACTED [320128] | HB SPRG AETNA FIRST HEALTH-NETWORK ACCESS | $533.12 | ↓ -14% |
| POINT C CONTRACTED [320238] | HB SPRG S&H FARM SUPPLY | $542.64 | ↓ -12% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB SPRG JOPL WOODARD DEC NEW 040124 | $542.64 | ↓ -12% |
| AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL WOODARD DEC NEW 040124 | $542.64 | ↓ -12% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUICKTRIP | $542.64 | ↓ -12% |
| POINT C CONTRACTED [320238] | HB SPRG DEC TRAILINER | $552.16 | ↓ -11% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC HYDROMAT DEUTSCHE | $618.80 | ↑ +0% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC FCB BANKS | $618.80 | ↑ +0% |
| HUMANA CONTRACTED [320193] | HB SPRG HUMANA | $647.36 | ↑ +5% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE PREFERRED | $694.48 | ↑ +12% |
| POINT C CONTRACTED [320238] | HB SPRG SCURLOCK | $714.00 | ↑ +15% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM TRADITIONAL | $727.33 | ↑ +18% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SPRG PHCS (MPI) | $733.04 | ↑ +18% |
| MULTIPLAN CONTRACTED [320270] | HB SPRG PHCS (MPI) | $733.04 | ↑ +18% |
| COMPCARE OF THE OZARKS CONTRACTED [320437] | HB SPRG COMP CARE OF THE OZARKS | $752.08 | ↑ +22% |
| WORKERS COMP [20426] | HB SPRG LEBN AURA CASV MTNV OHA WORKERS COMP NEW CONTRACT 3.15.25 | $761.60 | ↑ +23% |
| WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | $761.60 | ↑ +23% |
| QUAL CHOICE CONTRACTED [320324] | HB SPRG QUAL CHOICE | $761.60 | ↑ +23% |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB SPRG AMERICAN HEALTHCARE ALLIANCE | $761.60 | ↑ +23% |
| MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB SPRG CASV MUNICIPAL HEALTH BENEFIT FUND | $771.12 | ↑ +25% |
| WORKERS COMP [20426] | HB SPRG GENERIC WORK COMP | $809.20 | ↑ +31% |
| WORKERS COMP [20426] | HB SPRG CORVEL WORKERS COMP | $809.20 | ↑ +31% |
| USA MANAGED CARE ORG CONTRACTED [320429] | HB SPRG USA MANAGED CARE | $837.76 | ↑ +35% |
| PPO PLUS CONTRACTED [320310] | HB SPRG AMCO | $856.80 | ↑ +38% |
| HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK HMO | $1,036.55 | ↑ +68% |
| CIGNA HEALTHCARE [20071] | HB SPRG CIGNA HMO | $1,155.57 | ↑ +87% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB SPRG CIGNA HMO | $1,155.57 | ↑ +87% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB SPRG CIGNA PPO | $1,184.74 | ↑ +91% |
| CIGNA HEALTHCARE [20071] | HB SPRG CIGNA PPO | $1,184.74 | ↑ +91% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $1,213.17 | ↑ +96% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $1,213.17 | ↑ +96% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $1,213.17 | ↑ +96% |
| HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK PPO | $1,243.86 | ↑ +101% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC ASI New 1.1.24 | $1,274.60 | ↑ +106% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC TOWN AND COUNTRY SUPERMARKETS- NEW | $1,274.60 | ↑ +106% |
Visitor-reported prices
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Apl(pml-rara) quant - sendout at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $482.95 | $87.45 – $287.33 |
| Mercy Hospital Lincoln | Troy | $605.15 | $124.06 – $287.33 |
| Mercy Hospital Southeast | Cape Girardeau | $329.55 | $186.58 – $744.66 |