Prolng off/op e/m ea 15 min 99417 at Mercy Orthopedic Hospital Springfield
3050 E River Bluff Blvd, Ozark, MO · Mercy · · NPI 1578504056
$53.95
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.
$83.00
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.
$17.50 with KANCARE [20213] vs $63.00 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 | $17.50 | ↓ -68% |
| KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $17.50 | ↓ -68% |
| KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $17.50 | ↓ -68% |
| KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $17.50 | ↓ -68% |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB SPRG HEALTH SYSTEMS | $28.00 | ↓ -48% |
| HEALTH SYSTEMS INC CONTRACTED [320174] | HB SPRG HEALTH SYSTEMS | $28.00 | ↓ -48% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB SPRG DEC OZARK COMMUNITY HOSPITAL | $28.00 | ↓ -48% |
| NOVASYS CONTRACTED [320285] | HB SPRG AMBETTER EXCHANGE MO | $28.49 | ↓ -47% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SPRG AMBETTER EXCHANGE MO | $28.49 | ↓ -47% |
| AMBETTER CONTRACTED [320452] | HB SPRG AMBETTER EXCHANGE MO | $28.49 | ↓ -47% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SPRG AMBETTER EXCHANGE MO | $28.49 | ↓ -47% |
| MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $29.90 | ↓ -45% |
| MEDICAID [20240] | HB SPRG MO MEDICAID | $31.14 | ↓ -42% |
| MO MEDICAID BH CARVE OUT [320315] | HB SPRG MO MEDICAID | $31.14 | ↓ -42% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG AMISH | $31.50 | ↓ -42% |
| POINT C [20238] | HB SPRG DEC SRC HOLDINGS | $31.50 | ↓ -42% |
| POINT C CONTRACTED [320238] | HB SPRG DEC SRC HOLDINGS | $31.50 | ↓ -42% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MENNONITES | $31.50 | ↓ -42% |
| EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB SPRG EVOLUTIONS | $31.50 | ↓ -42% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MSU ATHLETES | $35.00 | ↓ -35% |
| WORKERS COMP [20426] | HB SPRG Cardinals Work Comp | $35.00 | ↓ -35% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CLAYCO | $35.00 | ↓ -35% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB & HH SPRG LIBERTY UTILITIES | $36.40 | ↓ -33% |
| UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB SPRG UHC MO MEDICAID | $37.37 | ↓ -31% |
| POINT C CONTRACTED [320238] | HB SPRG S&H FARM SUPPLY | $39.90 | ↓ -26% |
| HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK PPO | $40.60 | ↓ -25% |
| HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK HMO | $40.60 | ↓ -25% |
| POINT C CONTRACTED [320238] | HB SPRG DEC TRAILINER | $40.60 | ↓ -25% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC ASI New 1.1.24 | $42.00 | ↓ -22% |
| PROVIDRS CARE NETWORK CONTRACTED [320484] | HB SPRG PROVIDRS CARE | $42.00 | ↓ -22% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $42.00 | ↓ -22% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $42.00 | ↓ -22% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $42.00 | ↓ -22% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC TOWN AND COUNTRY SUPERMARKETS- NEW | $42.00 | ↓ -22% |
| HOME STATE MEDICAID CONTRACTED [320189] | HB SPRG HOME STATE HEALTH PLAN | $42.97 | ↓ -20% |
| HOME STATE MEDICAID [20189] | HB SPRG HOME STATE HEALTH PLAN | $42.97 | ↓ -20% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM PATHWAYS EXCHANGE | $43.22 | ↓ -20% |
| BCBS MEDICAID CONTRACTED [320046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $43.60 | ↓ -19% |
| BCBS MEDICAID [20046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $43.60 | ↓ -19% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SPRG UHC ALL PAYER | $43.82 | ↓ -19% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SPRG UHC ALL PAYER | $43.82 | ↓ -19% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC ALL PAYER | $43.82 | ↓ -19% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | $43.82 | ↓ -19% |
| POINT C CONTRACTED [320238] | HB SPRG MISSOURI STATE UNIVERSITY | $45.50 | ↓ -16% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC FCB BANKS | $45.50 | ↓ -16% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC HYDROMAT DEUTSCHE | $45.50 | ↓ -16% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | $48.21 | ↓ -11% |
| AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL DEC LACLEDE CHAIN NEW 7.1.25 | $49.00 | ↓ -9% |
| IMAGINE 360 CONTRACTED [320494] | HB SPRG JOPL DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $49.00 | ↓ -9% |
| REFLECT HEALTH CONTRACTED [320492] | HB SPRG JOPL DEC WW WOOD PRODUCTS NEW 1.1.26 | $49.00 | ↓ -9% |
| POINT C CONTRACTED [320238] | HB SPRG DEC CITY OF SPRINGFIELD | $49.00 | ↓ -9% |
| YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC LEVEL HEALTH NEW 1.1.26 | $49.00 | ↓ -9% |
| YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $49.00 | ↓ -9% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC TALL TREE NEW 4.1.25 | $49.00 | ↓ -9% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUICKTRIP | $49.00 | ↓ -9% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $49.00 | ↓ -9% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC EASTER SEALS | $49.00 | ↓ -9% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CITY OF JACKSON | $49.00 | ↓ -9% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $49.00 | ↓ -9% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $49.00 | ↓ -9% |
| HEALTHLINK CONTRACTED [320179] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $49.00 | ↓ -9% |
| EBMS CONTRACTED [320493] | HB SPRG JOPL DEC CRADER DISTRIBUTION | $49.00 | ↓ -9% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC CITY OF JACKSON | $49.00 | ↓ -9% |
| AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC BUCHHEIT | $49.00 | ↓ -9% |
| COMPCARE OF THE OZARKS CONTRACTED [320437] | HB SPRG COMP CARE OF THE OZARKS | $49.00 | ↓ -9% |
| FIRST HEALTH CONTRACTED [320128] | HB SPRG AETNA FIRST HEALTH-NETWORK ACCESS | $49.89 | ↓ -8% |
| AETNA CONTRACTED [320008] | HB SPRG AETNA COMMERCIAL | $49.89 | ↓ -8% |
| AETNA [20008] | HB SPRG AETNA COMMERCIAL | $49.89 | ↓ -8% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE PREFERRED | $51.07 | ↓ -5% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB SPRG JOPL WOODARD DEC NEW 040124 | $52.50 | ↓ -3% |
| POINT C CONTRACTED [320238] | HB SPRG SCURLOCK | $52.50 | ↓ -3% |
| AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL WOODARD DEC NEW 040124 | $52.50 | ↓ -3% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM TRADITIONAL | $53.48 | ↓ -1% |
| MULTIPLAN CONTRACTED [320270] | HB SPRG PHCS (MPI) | $53.90 | ↓ -0% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SPRG PHCS (MPI) | $53.90 | ↓ -0% |
| WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | $56.00 | ↑ +4% |
| HUMANA CONTRACTED [320193] | HB SPRG HUMANA | $56.00 | ↑ +4% |
| WORKERS COMP [20426] | HB SPRG LEBN AURA CASV MTNV OHA WORKERS COMP NEW CONTRACT 3.15.25 | $56.00 | ↑ +4% |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB SPRG AMERICAN HEALTHCARE ALLIANCE | $56.00 | ↑ +4% |
| MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB SPRG CASV MUNICIPAL HEALTH BENEFIT FUND | $56.70 | ↑ +5% |
| WORKERS COMP [20426] | HB SPRG CORVEL WORKERS COMP | $57.40 | ↑ +6% |
| WORKERS COMP [20426] | HB SPRG GENERIC WORK COMP | $59.50 | ↑ +10% |
| USA MANAGED CARE ORG CONTRACTED [320429] | HB SPRG USA MANAGED CARE | $61.60 | ↑ +14% |
| PPO PLUS CONTRACTED [320310] | HB SPRG AMCO | $63.00 | ↑ +17% |
Visitor-reported prices
Comments
Prolng off/op e/m ea 15 min 99417 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $61.10 | $31.14 – $38.64 |
| Mercy Hospital Southeast | Cape Girardeau | $61.10 | $30.50 – $56.05 |
| Mercy Primary Care - Bernie | Bernie | $75.75 | $31.14 – $44.53 |