Ins/rpl prph sac/gstr npg/r at Mercy Orthopedic Hospital Springfield
3050 E River Bluff Blvd, Ozark, MO · Mercy · · NPI 1578504056
$39,232.27
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.
$60,357.34
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.
$252.08 with BLUE CROSS AND BLUE SHIELD [20053] vs $48,989.52 with HUMANA CONTRACTED [320193] — 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 |
|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG MEDICARE | $252.08 | ↓ -99% |
| MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $363.00 | ↓ -99% |
| MULTIPLAN CONTRACTED [320270] | HB SPRG PHCS (MPI) | $1,671.00 | ↓ -96% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SPRG PHCS (MPI) | $1,671.00 | ↓ -96% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB & HH SPRG LIBERTY UTILITIES | $2,307.00 | ↓ -94% |
| KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $12,031.22 | ↓ -69% |
| KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $12,031.22 | ↓ -69% |
| KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $12,031.22 | ↓ -69% |
| KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $12,031.22 | ↓ -69% |
| BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $12,031.22 | ↓ -69% |
| EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB SPRG EVOLUTIONS | $16,329.84 | ↓ -58% |
| MO MEDICAID BH CARVE OUT [320315] | HB SPRG MO MEDICAID | $18,280.94 | ↓ -53% |
| BCBS MEDICAID CONTRACTED [320046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $18,280.94 | ↓ -53% |
| BCBS MEDICAID [20046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $18,280.94 | ↓ -53% |
| MEDICAID [20240] | HB SPRG MO MEDICAID | $18,280.94 | ↓ -53% |
| HEALTH SYSTEMS INC CONTRACTED [320174] | HB SPRG HEALTH SYSTEMS | $18,289.42 | ↓ -53% |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB SPRG HEALTH SYSTEMS | $18,289.42 | ↓ -53% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB SPRG DEC OZARK COMMUNITY HOSPITAL | $18,289.42 | ↓ -53% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| KINDFUL HOSPICE [20434] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| CENTURION [20459] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| AETNA MEDICARE ADVANTAGE [20010] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| MERCY REHAB HOSPITAL CONTRACTED [320260] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| CHAMPVA [20065] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| HUMANA MEDICARE ADVANTAGE [20194] | HB SPRG HUMANA MEDICARE 100% | $19,062.24 | ↓ -51% |
| INDIAN HEALTH SERVICE [20198] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| CROSS TIMBERS HOSPICE [20098] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| MEDICARE [20244] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| HALO HCR INC HOSPICE [20432] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | $19,062.24 | ↓ -51% |
| MERCY HOSPICE OKC [20252] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| TRICARE CONTRACTED [320380] | HB SPRG TRICARE | $19,062.24 | ↓ -51% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SPRG UHC MCR 100% | $19,062.24 | ↓ -51% |
| ACENTRA HEALTH CONTRACTED [320527] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| QUAL CHOICE CONTRACTED [320325] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| BCBS MEDICARE ADVANTAGE [20047] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| GLOBALHEALTH CONTRACTED [320145] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SPRG MEDICARE | $19,062.24 | ↓ -51% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SPRG OK MEDICAID | $19,096.55 | ↓ -51% |
| AETNA MEDICAID CONTRACTED [320009] | HB SPRG OK MEDICAID | $19,096.55 | ↓ -51% |
| HUMANA MEDICAID CONTRACTED [320486] | HB SPRG OK MEDICAID | $19,096.55 | ↓ -51% |
| MEDICAID [20240] | HB SPRG OK MEDICAID | $19,096.55 | ↓ -51% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SPRG & LEBN WELLCARE MCR 103% | $19,645.18 | ↓ -50% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB SPRG DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $19,839.50 | ↓ -49% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SPRG NHC ADVANTAGE MCR 105% | $20,033.81 | ↓ -49% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SPRG PROVIDER PARTNERS PPHP 110% MCR | $21,005.38 | ↓ -46% |
| POINT C CONTRACTED [320238] | HB SPRG MISSOURI STATE UNIVERSITY | $24,180.89 | ↓ -38% |
| HEALTHSCOPE CONTRACTED [320182] | HB SPRG DEC ORSCHELN 125% MCR | $24,289.29 | ↓ -38% |
| HEALTHLINK CONTRACTED [320179] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $26,005.86 | ↓ -34% |
| AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL DEC LACLEDE CHAIN NEW 7.1.25 | $26,005.86 | ↓ -34% |
| YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $26,005.86 | ↓ -34% |
| YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC LEVEL HEALTH NEW 1.1.26 | $26,005.86 | ↓ -34% |
| REFLECT HEALTH CONTRACTED [320492] | HB SPRG JOPL DEC WW WOOD PRODUCTS NEW 1.1.26 | $26,005.86 | ↓ -34% |
| EBMS CONTRACTED [320493] | HB SPRG JOPL DEC CRADER DISTRIBUTION | $26,005.86 | ↓ -34% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB SPRG JOPL WOODARD DEC NEW 040124 | $26,005.86 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $26,005.86 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $26,005.86 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CITY OF JACKSON | $26,005.86 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC EASTER SEALS | $26,005.86 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $26,005.86 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC TALL TREE NEW 4.1.25 | $26,005.86 | ↓ -34% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC CITY OF JACKSON | $26,005.86 | ↓ -34% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC BUCHHEIT | $26,005.86 | ↓ -34% |
| IMAGINE 360 CONTRACTED [320494] | HB SPRG JOPL DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $26,005.86 | ↓ -34% |
| AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL WOODARD DEC NEW 040124 | $26,005.86 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUICKTRIP | $27,260.53 | ↓ -31% |
| HOME STATE MEDICAID CONTRACTED [320189] | HB SPRG HOME STATE HEALTH PLAN | $27,421.41 | ↓ -30% |
| HOME STATE MEDICAID [20189] | HB SPRG HOME STATE HEALTH PLAN | $27,421.41 | ↓ -30% |
| POINT C CONTRACTED [320238] | HB SPRG S&H FARM SUPPLY | $28,058.96 | ↓ -28% |
| UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB SPRG UHC MO MEDICAID | $31,077.60 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CLAYCO | $31,189.99 | ↓ -20% |
| CENTIVO CONTRACTED [320505] | HB SPRG CENTIVO 165% MEDICARE | $32,061.87 | ↓ -18% |
| POINT C [20238] | HB SPRG DEC SRC HOLDINGS | $32,496.38 | ↓ -17% |
| POINT C CONTRACTED [320238] | HB SPRG DEC SRC HOLDINGS | $32,496.38 | ↓ -17% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $33,293.84 | ↓ -15% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $33,293.84 | ↓ -15% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $33,293.84 | ↓ -15% |
| POINT C CONTRACTED [320238] | HB SPRG DEC CITY OF SPRINGFIELD | $33,639.47 | ↓ -14% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC ASI New 1.1.24 | $34,879.26 | ↓ -11% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC TOWN AND COUNTRY SUPERMARKETS- NEW | $34,879.26 | ↓ -11% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB SPRG FEDERAL MEDICAL CENTER | $35,266.11 | ↓ -10% |
| POINT C CONTRACTED [320238] | HB SPRG DEC TRAILINER | $35,472.91 | ↓ -10% |
| PROVIDRS CARE NETWORK CONTRACTED [320484] | HB SPRG PROVIDRS CARE | $36,762.94 | ↓ -6% |
| HUMANA CONTRACTED [320193] | HB SPRG HUMANA | $48,989.52 | ↑ +25% |
| AMBETTER CONTRACTED [320452] | HB SPRG AMBETTER EXCHANGE MO | not published by hospital | — |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MSU ATHLETES | not published by hospital | — |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG AMISH | not published by hospital | — |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MENNONITES | not published by hospital | — |
| WORKERS COMP [20426] | HB SPRG Cardinals Work Comp | not published by hospital | — |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SPRG AMBETTER EXCHANGE MO | not published by hospital | — |
| WORKERS COMP [20426] | HB SPRG CORVEL WORKERS COMP | not published by hospital | — |
| WORKERS COMP [20426] | HB SPRG LEBN AURA CASV MTNV OHA WORKERS COMP NEW CONTRACT 3.15.25 | not published by hospital | — |
| WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | not published by hospital | — |
| WORKERS COMP [20426] | HB SPRG GENERIC WORK COMP | not published by hospital | — |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB SPRG AMERICAN HEALTHCARE ALLIANCE | not published by hospital | — |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SPRG UHC ALL PAYER | not published by hospital | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | not published by hospital | — |
| CIGNA HEALTHCARE [20071] | HB SPRG CIGNA HMO | not published by hospital | — |
| CIGNA HEALTHCARE [20071] | HB SPRG CIGNA PPO | not published by hospital | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | not published by hospital | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC ALL PAYER | not published by hospital | — |
| POINT C CONTRACTED [320238] | HB SPRG SCURLOCK | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE ACCESS | not published by hospital | — |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SPRG UHC ALL PAYER | not published by hospital | — |
| HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK PPO | not published by hospital | — |
| HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK HMO | not published by hospital | — |
| FIRST HEALTH CONTRACTED [320128] | HB SPRG AETNA FIRST HEALTH-NETWORK ACCESS | not published by hospital | — |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB SPRG CIGNA PPO | not published by hospital | — |
| USA MANAGED CARE ORG CONTRACTED [320429] | HB SPRG USA MANAGED CARE | not published by hospital | — |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB SPRG CIGNA HMO | not published by hospital | — |
| PPO PLUS CONTRACTED [320310] | HB SPRG AMCO | not published by hospital | — |
| QUAL CHOICE CONTRACTED [320324] | HB SPRG QUAL CHOICE | not published by hospital | — |
| AETNA [20008] | HB SPRG AETNA COMMERCIAL | not published by hospital | — |
| MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB SPRG CASV MUNICIPAL HEALTH BENEFIT FUND | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM TRADITIONAL | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM PATHWAYS EXCHANGE | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE PREFERRED | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM ALLIANCE | not published by hospital | — |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC HYDROMAT DEUTSCHE | not published by hospital | — |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC FCB BANKS | not published by hospital | — |
| COMPCARE OF THE OZARKS CONTRACTED [320437] | HB SPRG COMP CARE OF THE OZARKS | not published by hospital | — |
| AETNA CONTRACTED [320008] | HB SPRG AETNA COMMERCIAL | not published by hospital | — |
| MEDICA [20239] | HB SPRG LEBN MEDICA EXCHANGE | not published by hospital | — |
| MC ANTHEM [20455] | HB SPRG ANTHEM BLUE ACCESS | not published by hospital | — |
| MEDICAL DESTINATIONS CONTRACTED [320242] | HB SPRG MEDICAL DESTINATIONS | not published by hospital | — |
| MC GENERIC ANTHEM [20456] | HB SPRG ANTHEM BLUE ACCESS | not published by hospital | — |
| MEDICA CONTRACTED [320239] | HB SPRG LEBN MEDICA EXCHANGE | not published by hospital | — |
| MC ANTHEM [20455] | HB SPRG ANTHEM ALLIANCE | not published by hospital | — |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SPRG AMBETTER EXCHANGE MO | not published by hospital | — |
| NOVASYS CONTRACTED [320285] | HB SPRG AMBETTER EXCHANGE MO | not published by hospital | — |
Visitor-reported prices
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Ins/rpl prph sac/gstr npg/r at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Southeast | Cape Girardeau | $47,352.43 | $250.82 – $124,669.66 |