Clip phn wireless f/baha4 proc at Mercy Orthopedic Hospital Springfield
3050 E River Bluff Blvd, Ozark, MO · Mercy · · NPI 1578504056
not published by hospital
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.
not published by hospital
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.
$68.25 with KANCARE [20213] vs $245.70 with PPO PLUS CONTRACTED [320310] — 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 |
|---|---|---|---|
| KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $68.25 | — |
| KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $68.25 | — |
| KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $68.25 | — |
| KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $68.25 | — |
| MEDICA CONTRACTED [320239] | HB SPRG LEBN MEDICA EXCHANGE | $107.84 | — |
| MEDICA [20239] | HB SPRG LEBN MEDICA EXCHANGE | $107.84 | — |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB SPRG DEC OZARK COMMUNITY HOSPITAL | $109.20 | — |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB SPRG HEALTH SYSTEMS | $109.20 | — |
| HEALTH SYSTEMS INC CONTRACTED [320174] | HB SPRG HEALTH SYSTEMS | $109.20 | — |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MENNONITES | $122.85 | — |
| POINT C [20238] | HB SPRG DEC SRC HOLDINGS | $122.85 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM ALLIANCE | $122.85 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE ACCESS | $122.85 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM PATHWAYS EXCHANGE | $122.85 | — |
| EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB SPRG EVOLUTIONS | $122.85 | — |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SPRG AMBETTER EXCHANGE MO | $122.85 | — |
| NOVASYS CONTRACTED [320285] | HB SPRG AMBETTER EXCHANGE MO | $122.85 | — |
| MC GENERIC ANTHEM [20456] | HB SPRG ANTHEM BLUE ACCESS | $122.85 | — |
| MC ANTHEM [20455] | HB SPRG ANTHEM BLUE ACCESS | $122.85 | — |
| MC ANTHEM [20455] | HB SPRG ANTHEM ALLIANCE | $122.85 | — |
| HUMANA CONTRACTED [320193] | HB SPRG HUMANA | $122.85 | — |
| POINT C CONTRACTED [320238] | HB SPRG DEC SRC HOLDINGS | $122.85 | — |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SPRG AMBETTER EXCHANGE MO | $122.85 | — |
| AMBETTER CONTRACTED [320452] | HB SPRG AMBETTER EXCHANGE MO | $122.85 | — |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG AMISH | $122.85 | — |
| POINT C CONTRACTED [320238] | HB SPRG MISSOURI STATE UNIVERSITY | $124.22 | — |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $136.50 | — |
| POINT C CONTRACTED [320238] | HB SPRG DEC CITY OF SPRINGFIELD | $136.50 | — |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $136.50 | — |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC ASI New 1.1.24 | $136.50 | — |
| MEDICAL DESTINATIONS CONTRACTED [320242] | HB SPRG MEDICAL DESTINATIONS | $136.50 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CLAYCO | $136.50 | — |
| WORKERS COMP [20426] | HB SPRG Cardinals Work Comp | $136.50 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $136.50 | — |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MSU ATHLETES | $136.50 | — |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB & HH SPRG LIBERTY UTILITIES | $141.96 | — |
| YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $155.61 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $155.61 | — |
| POINT C CONTRACTED [320238] | HB SPRG S&H FARM SUPPLY | $155.61 | — |
| POINT C CONTRACTED [320238] | HB SPRG DEC TRAILINER | $158.34 | — |
| AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL WOODARD DEC NEW 040124 | $163.80 | — |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB SPRG JOPL WOODARD DEC NEW 040124 | $163.80 | — |
| AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL DEC LACLEDE CHAIN NEW 7.1.25 | $163.80 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC TOWN AND COUNTRY SUPERMARKETS- NEW | $163.80 | — |
| IMAGINE 360 CONTRACTED [320494] | HB SPRG JOPL DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $163.80 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC TALL TREE NEW 4.1.25 | $163.80 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUICKTRIP | $163.80 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC EASTER SEALS | $163.80 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CITY OF JACKSON | $163.80 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $163.80 | — |
| REFLECT HEALTH CONTRACTED [320492] | HB SPRG JOPL DEC WW WOOD PRODUCTS NEW 1.1.26 | $163.80 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $163.80 | — |
| YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC LEVEL HEALTH NEW 1.1.26 | $163.80 | — |
| HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK HMO | $163.80 | — |
| HEALTHLINK CONTRACTED [320179] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $163.80 | — |
| EBMS CONTRACTED [320493] | HB SPRG JOPL DEC CRADER DISTRIBUTION | $163.80 | — |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC CITY OF JACKSON | $163.80 | — |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC BUCHHEIT | $163.80 | — |
| HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK PPO | $177.45 | — |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC HYDROMAT DEUTSCHE | $177.45 | — |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC FCB BANKS | $177.45 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE PREFERRED | $199.15 | — |
| FIRST HEALTH CONTRACTED [320128] | HB SPRG AETNA FIRST HEALTH-NETWORK ACCESS | $199.29 | — |
| POINT C CONTRACTED [320238] | HB SPRG SCURLOCK | $204.75 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM TRADITIONAL | $208.57 | — |
| COMPCARE OF THE OZARKS CONTRACTED [320437] | HB SPRG COMP CARE OF THE OZARKS | $215.67 | — |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB SPRG AMERICAN HEALTHCARE ALLIANCE | $218.40 | — |
| QUAL CHOICE CONTRACTED [320324] | HB SPRG QUAL CHOICE | $218.40 | — |
| WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | $218.40 | — |
| WORKERS COMP [20426] | HB SPRG LEBN AURA CASV MTNV OHA WORKERS COMP NEW CONTRACT 3.15.25 | $218.40 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SPRG PHCS (MPI) | $221.13 | — |
| MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB SPRG CASV MUNICIPAL HEALTH BENEFIT FUND | $221.13 | — |
| MULTIPLAN CONTRACTED [320270] | HB SPRG PHCS (MPI) | $221.13 | — |
| WORKERS COMP [20426] | HB SPRG GENERIC WORK COMP | $232.05 | — |
| WORKERS COMP [20426] | HB SPRG CORVEL WORKERS COMP | $232.05 | — |
| USA MANAGED CARE ORG CONTRACTED [320429] | HB SPRG USA MANAGED CARE | $240.24 | — |
| PPO PLUS CONTRACTED [320310] | HB SPRG AMCO | $245.70 | — |