X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at Mercy Rehabilitation Hospital Springfield

5904 S Southwood Road, Springfield, MO · Mercy · · NPI 1871928473

Source: hospital's published price file ↗ · Published Mar 16, 2026 · Ingested Sep 8, 2026

not published by hospital

Cash price

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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

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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.

$566.91 with Aetna vs $944.85 with Aetna Medicare — 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.

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Payer
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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
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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 $566.91
Blue Preferred Blue Preferred $684.54
FirstHealth Network FirstHealth Network $689.74
Traditional Anthem BCBS Traditional Anthem BCBS $718.09
HealthLink WorkComp HealthLink WorkComp $803.12
Anthem Alliance Anthem Alliance $944.85
Essence Essence $944.85
Allwell from Home State Health Allwell from Home State Health $944.85
AllyAlign Health (NHC Advantage) AllyAlign Health (NHC Advantage) $944.85
AmBetter from Home State Health AmBetter from Home State Health $944.85
Architectural Systems, Inc. (ASI) Architectural Systems, Inc. (ASI) $944.85
Ava R1 School District (SMBC) Ava R1 School District (SMBC) $944.85
Bakersfield School District (SMBC) Bakersfield School District (SMBC) $944.85
Blue Access Blue Access $944.85
Blue Cross Medicare Blue Cross Medicare $944.85
Bolivar School (SMBC) Bolivar School (SMBC) $944.85
Buchheit Buchheit $944.85
CIGNA HMO (includes Open Access Plus) CIGNA HMO (includes Open Access Plus) $944.85
Cardinal Scale (Tri State Healthcare Coalition) Cardinal Scale (Tri State Healthcare Coalition) $944.85
Carthage R-9 School District (Tri-State Healthcare Coalition) Carthage R-9 School District (Tri-State Healthcare Coalition) $944.85
City of Springfield City of Springfield $944.85
City of Webb City (Tri State Healthcare Coalition) City of Webb City (Tri State Healthcare Coalition) $944.85
Devoted Healthcare Devoted Healthcare $944.85
Dora School District (SMBC) Dora School District (SMBC) $944.85
Easter Seals Midwest Easter Seals Midwest $944.85
Employers Benefit Alliance Employers Benefit Alliance $944.85
Evolutions Evolutions $944.85
Fabick CAT Fabick CAT $944.85
Fair Grove School District (SMBC) Fair Grove School District (SMBC) $944.85
Health Net Federal Services Health Net Federal Services $944.85
Health Systems, Inc. Health Systems, Inc. $944.85
HealthLink HMO HealthLink HMO $944.85
HealthLink PPO HealthLink PPO $944.85
Healthy Blue Medicaid (Anthem) Healthy Blue Medicaid (Anthem) $944.85
Heart of America (Tri State Healthcare Coalition – Med Pay) Heart of America (Tri State Healthcare Coalition – Med Pay) $944.85
Hickory County Skyline School District (SMBC) Hickory County Skyline School District (SMBC) $944.85
Home State Health Plan, Inc. Home State Health Plan, Inc. $944.85
Humana-Commercial products Humana-Commercial products $944.85
Humana-Medicare products Humana-Medicare products $944.85
J and M Farms, Inc. (Tri-State Healthcare Coalition) J and M Farms, Inc. (Tri-State Healthcare Coalition) $944.85
Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) $944.85
Laclede County School District Conway (SMBC) Laclede County School District Conway (SMBC) $944.85
Lebanon School District (SMBC) Lebanon School District (SMBC) $944.85
Liberty Utilities (Empire District Electric) Liberty Utilities (Empire District Electric) $944.85
MERS Goodwill MERS Goodwill $944.85
Marshfield School District (SMBC) Marshfield School District (SMBC) $944.85
Mercy Charity Contract Mercy Charity Contract $944.85
Missouri Medicaid Missouri Medicaid $944.85
Missouri Medicaid Pending Missouri Medicaid Pending $944.85
Missouri State University Missouri State University $944.85
Mount Vernon School District (SMBC) Mount Vernon School District (SMBC) $944.85
Mountain Grove R-111 School District (SMBC) Mountain Grove R-111 School District (SMBC) $944.85
Mountain View School District (SMBC) Mountain View School District (SMBC) $944.85
Multiplan/PHCS/Beech Street Multiplan/PHCS/Beech Street $944.85
Ozarks Community Hospital Ozarks Community Hospital $944.85
PHCS Savility PHCS Savility $944.85
Pathway/Pathway X Pathway/Pathway X $944.85
Quality Collisson Group Quality Collisson Group $944.85
QuikTrip Corporation QuikTrip Corporation $944.85
Richards R-V School District (SMBC) Richards R-V School District (SMBC) $944.85
Roper Automotive Group (Tri State Healthcare Coalition) Roper Automotive Group (Tri State Healthcare Coalition) $944.85
S and H Farm Supply S and H Farm Supply $944.85
Schreiber Foods Schreiber Foods $944.85
ShineSolar ShineSolar $944.85
Springfield Public Schools Springfield Public Schools $944.85
Springfield Remanufacturing Springfield Remanufacturing $944.85
Trailiner Trailiner $944.85
United Community Plan – Missouri Medicaid United Community Plan – Missouri Medicaid $944.85
United HealthCare Veterans Affairs Community Care Plan United HealthCare Veterans Affairs Community Care Plan $944.85
United Healthcare – Medicare Advantage United Healthcare – Medicare Advantage $944.85
Wal Mart Accountable Care Plan – UMR Wal Mart Accountable Care Plan – UMR $944.85
Webb City R-VII School District (Tri-State Healthcare Coalition) Webb City R-VII School District (Tri-State Healthcare Coalition) $944.85
WellCare Health Plans WellCare Health Plans $944.85
Diversified Plastics Diversified Plastics $944.85
Woodard Cleaning & Restoration, Inc. Woodard Cleaning & Restoration, Inc. $944.85
United Healthcare United Healthcare $944.85
Medica Medica $944.85
CIGNA PPO CIGNA PPO $944.85
Aetna Medicare Aetna Medicare $944.85

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Missouri hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Lincoln Troy $634.40 $260.40 – $468.85
Mercy Hospital Southeast Cape Girardeau $702.00 $47.77 – $2,241.93
Mercy Orthopedic Hospital Springfield Ozark $793.65 $48.01 – $1,815.97

All Missouri hospitals for this procedure →