Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS C9293 · SPRINGFIELD, MO

C9293 — Glucarpidase 1,000 Unit Intravenous Solution

What each payer pays MERCY HOSPITAL SPRINGFIELD (CCN 260065) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$72,380 All-payer median here
$80,557 Cash / self-pay here
51 payer/plan-name variants
← This hospital National rates for C9293 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
PPO PLUS CONTRACTED [320310] $111,540 54.1% 1
USA MANAGED CARE ORG CONTRACTED [320429] $109,062 50.7% 1
MUNICIPAL HEALTH PLAN CONTRACTED [320271] $100,386 38.7% 1
WORKERS COMP [20426] $99,147 37.0% 5
QUAL CHOICE CONTRACTED [320324] $99,147 37.0% 1
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $99,147 37.0% 1
COMPCARE OF THE OZARKS CONTRACTED [320437] $97,908 35.3% 1
MultiPlan $95,429 31.8% 1
PHCS (Private Healthcare Systems) $95,429 31.8% 1
Cigna Healthcare $90,472 25.0% 4
Humana $84,275 16.4% 1
HEALTHLINK PPO $80,557 11.3% 3
AUXIANT $77,459 7.0% 4
FEDERAL MEDICAL CENTER CONTRACTED [320127] $74,360 2.7% 1
AITHER HEALTH $74,360 2.7% 2
MERCY BENEFIT ADMINISTRATION $74,360 2.7% 10
90 Degree Benefits $74,360 2.7% 1
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $74,360 2.7% 1
EDISON HEALTH SOLUTIONS $74,360 2.7% 1
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $74,360 2.7% 1
PROVIDRS CARE NETWORK CONTRACTED [320484] $74,360 2.7% 1
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $74,360 2.7% 2
IMAGINE360 ADMINISTRATORS (GPA) $74,360 2.7% 1
BLUE CROSS AND BLUE SHIELD [20053] $72,878 0.7% 5
YUZU HEALTH CONTRACTED [320521] $72,501 0.2% 2
First Health Network $69,403 -4.1% 1
MC ANTHEM [20455] $66,496 -8.1% 2
MEDICAL DESTINATIONS CONTRACTED [320242] $61,967 -14.4% 1
MC GENERIC ANTHEM [20456] $60,114 -16.9% 1
POINT C / MID-AMERICAN BENEFITS $59,488 -17.8% 7
Aetna $58,249 -19.5% 2
ADMINISTRATIVE PAYOR CONTRACTED [320005] $55,770 -22.9% 3
EVOLUTIONS HEALTHCARE SYSTEMS $55,770 -22.9% 1
UMR (UnitedHealthcare TPA) $53,911 -25.5% 2
NOVASYS HEALTH $50,441 -30.3% 1
AMBETTER CONTRACTED [320452] $50,441 -30.3% 1
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $50,441 -30.3% 1
BENEFIT MANAGEMENT CONTRACTED [320052] $49,574 -31.5% 1
Insurance Systems, Inc. $49,574 -31.5% 1
HEALTH SYSTEMS INC CONTRACTED [320174] $49,574 -31.5% 1
Medica $48,954 -32.4% 2
UnitedHealthcare $43,377 -40.1% 4
United Behavioral Health (Optum) $43,377 -40.1% 1
KANCARE CONTRACTED [320213] $38,480 -46.8% 2
KANCARE [20213] $38,480 -46.8% 2
BCBS MEDICAID CONTRACTED [320046] $31,633 -56.3% 2
MO HealthNet (Missouri Medicaid) $24,787 -65.8% 1
Home State Health (Centene Missouri Medicaid) $24,787 -65.8% 4
Medicaid (Generic) $24,787 -65.8% 1
BCBS MEDICAID [20046] $24,787 -65.8% 1
UnitedHealthcare Community Plan $24,787 -65.8% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.