Ot evaluation high complexity patient/family at Mercy Rehabilitation Hospital Springfield
5904 S Southwood Road, Springfield, MO · Mercy · · NPI 1871928473
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.
$211.31 with Aetna vs $352.19 with Anthem Alliance — 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 |
|---|---|---|---|
| Aetna | Aetna/ Managed Choice POS Elect Choice and PPO Products | $211.31 | — |
| Blue Preferred | Blue Preferred | $255.16 | — |
| FirstHealth Network | FirstHealth Network | $257.10 | — |
| Traditional Anthem BCBS | Traditional Anthem BCBS | $267.66 | — |
| HealthLink WorkComp | HealthLink WorkComp | $299.36 | — |
| Essence | Essence | $352.19 | — |
| Allwell from Home State Health | Allwell from Home State Health | $352.19 | — |
| AllyAlign Health (NHC Advantage) | AllyAlign Health (NHC Advantage) | $352.19 | — |
| AmBetter from Home State Health | AmBetter from Home State Health | $352.19 | — |
| Architectural Systems, Inc. (ASI) | Architectural Systems, Inc. (ASI) | $352.19 | — |
| Ava R1 School District (SMBC) | Ava R1 School District (SMBC) | $352.19 | — |
| Bakersfield School District (SMBC) | Bakersfield School District (SMBC) | $352.19 | — |
| Blue Access | Blue Access | $352.19 | — |
| Blue Cross Medicare | Blue Cross Medicare | $352.19 | — |
| Bolivar School (SMBC) | Bolivar School (SMBC) | $352.19 | — |
| Buchheit | Buchheit | $352.19 | — |
| CIGNA HMO (includes Open Access Plus) | CIGNA HMO (includes Open Access Plus) | $352.19 | — |
| Cardinal Scale (Tri State Healthcare Coalition) | Cardinal Scale (Tri State Healthcare Coalition) | $352.19 | — |
| Carthage R-9 School District (Tri-State Healthcare Coalition) | Carthage R-9 School District (Tri-State Healthcare Coalition) | $352.19 | — |
| City of Springfield | City of Springfield | $352.19 | — |
| City of Webb City (Tri State Healthcare Coalition) | City of Webb City (Tri State Healthcare Coalition) | $352.19 | — |
| Devoted Healthcare | Devoted Healthcare | $352.19 | — |
| Diversified Plastics | Diversified Plastics | $352.19 | — |
| Dora School District (SMBC) | Dora School District (SMBC) | $352.19 | — |
| Easter Seals Midwest | Easter Seals Midwest | $352.19 | — |
| Employers Benefit Alliance | Employers Benefit Alliance | $352.19 | — |
| Evolutions | Evolutions | $352.19 | — |
| Fabick CAT | Fabick CAT | $352.19 | — |
| Fair Grove School District (SMBC) | Fair Grove School District (SMBC) | $352.19 | — |
| Health Net Federal Services | Health Net Federal Services | $352.19 | — |
| Health Systems, Inc. | Health Systems, Inc. | $352.19 | — |
| HealthLink HMO | HealthLink HMO | $352.19 | — |
| HealthLink PPO | HealthLink PPO | $352.19 | — |
| Healthy Blue Medicaid (Anthem) | Healthy Blue Medicaid (Anthem) | $352.19 | — |
| Heart of America (Tri State Healthcare Coalition – Med Pay) | Heart of America (Tri State Healthcare Coalition – Med Pay) | $352.19 | — |
| Hickory County Skyline School District (SMBC) | Hickory County Skyline School District (SMBC) | $352.19 | — |
| Home State Health Plan, Inc. | Home State Health Plan, Inc. | $352.19 | — |
| Humana-Commercial products | Humana-Commercial products | $352.19 | — |
| Humana-Medicare products | Humana-Medicare products | $352.19 | — |
| J and M Farms, Inc. (Tri-State Healthcare Coalition) | J and M Farms, Inc. (Tri-State Healthcare Coalition) | $352.19 | — |
| Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) | Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) | $352.19 | — |
| Laclede County School District Conway (SMBC) | Laclede County School District Conway (SMBC) | $352.19 | — |
| Lebanon School District (SMBC) | Lebanon School District (SMBC) | $352.19 | — |
| Liberty Utilities (Empire District Electric) | Liberty Utilities (Empire District Electric) | $352.19 | — |
| MERS Goodwill | MERS Goodwill | $352.19 | — |
| Marshfield School District (SMBC) | Marshfield School District (SMBC) | $352.19 | — |
| Mercy Charity Contract | Mercy Charity Contract | $352.19 | — |
| Missouri Medicaid | Missouri Medicaid | $352.19 | — |
| Missouri Medicaid Pending | Missouri Medicaid Pending | $352.19 | — |
| Missouri State University | Missouri State University | $352.19 | — |
| Mount Vernon School District (SMBC) | Mount Vernon School District (SMBC) | $352.19 | — |
| Mountain Grove R-111 School District (SMBC) | Mountain Grove R-111 School District (SMBC) | $352.19 | — |
| Mountain View School District (SMBC) | Mountain View School District (SMBC) | $352.19 | — |
| Multiplan/PHCS/Beech Street | Multiplan/PHCS/Beech Street | $352.19 | — |
| Ozarks Community Hospital | Ozarks Community Hospital | $352.19 | — |
| PHCS Savility | PHCS Savility | $352.19 | — |
| Pathway/Pathway X | Pathway/Pathway X | $352.19 | — |
| Quality Collisson Group | Quality Collisson Group | $352.19 | — |
| QuikTrip Corporation | QuikTrip Corporation | $352.19 | — |
| Richards R-V School District (SMBC) | Richards R-V School District (SMBC) | $352.19 | — |
| Roper Automotive Group (Tri State Healthcare Coalition) | Roper Automotive Group (Tri State Healthcare Coalition) | $352.19 | — |
| S and H Farm Supply | S and H Farm Supply | $352.19 | — |
| Schreiber Foods | Schreiber Foods | $352.19 | — |
| ShineSolar | ShineSolar | $352.19 | — |
| Springfield Public Schools | Springfield Public Schools | $352.19 | — |
| Springfield Remanufacturing | Springfield Remanufacturing | $352.19 | — |
| Trailiner | Trailiner | $352.19 | — |
| United Community Plan – Missouri Medicaid | United Community Plan – Missouri Medicaid | $352.19 | — |
| United HealthCare Veterans Affairs Community Care Plan | United HealthCare Veterans Affairs Community Care Plan | $352.19 | — |
| United Healthcare – Medicare Advantage | United Healthcare – Medicare Advantage | $352.19 | — |
| Wal Mart Accountable Care Plan – UMR | Wal Mart Accountable Care Plan – UMR | $352.19 | — |
| Webb City R-VII School District (Tri-State Healthcare Coalition) | Webb City R-VII School District (Tri-State Healthcare Coalition) | $352.19 | — |
| WellCare Health Plans | WellCare Health Plans | $352.19 | — |
| United Healthcare | United Healthcare | $352.19 | — |
| Woodard Cleaning & Restoration, Inc. | Woodard Cleaning & Restoration, Inc. | $352.19 | — |
| Medica | Medica | $352.19 | — |
| CIGNA PPO | CIGNA PPO | $352.19 | — |
| Aetna Medicare | Aetna Medicare | $352.19 | — |
| Anthem Alliance | Anthem Alliance | $352.19 | — |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $503.75 | $55.76 – $136.12 |
| Mercy Hospital Lincoln | Troy | $782.60 | $123.75 – $136.12 |
| Mercy Hospital Carthage | Carthage | $539.50 | $55.76 – $136.12 |
| Mercy Hospital Southeast | Cape Girardeau | $224.25 | $88.39 – $336.93 |
| Mercy Hospital Stoddard | Dexter | $105.30 | $88.39 – $329.95 |
| Mercy Orthopedic Hospital Springfield | Ozark | $635.05 | $55.76 – $192.29 |