▸ Hospital · MO · CCN 263032
MERCY REHABILITATION HOSPITAL-SPGF
5904 SOUTHWOOD ROAD, SPRINGFIELD, MO, 65804
60 beds5
Compliance grade
A
100/100
Procedures tracked
125
of 209 target codes
Payers
30
with negotiated rates
Rates published
49,985
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | $20,952 | $20,952 | $2,356 | $2,356 | $2,356 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 70 | $294.45 | $294.45 | $176.67 | $294.45 | $294.45 |
| CT head with contrast | CPT | 70460 | 70 | $3,525.04 | $3,525.04 | $2,115.02 | $3,525.04 | $3,525.04 |
| CT head with and without contrast | CPT | 70470 | 70 | $472.62 | $472.62 | $283.57 | $472.62 | $472.62 |
| CT neck with contrast | CPT | 70491 | 70 | $248.83 | $248.83 | $149.3 | $248.83 | $248.83 |
| MRI brain without contrast | CPT | 70551 | 70 | $630.3 | $630.3 | $378.18 | $630.3 | $630.3 |
| MRI brain with contrast | CPT | 70552 | 70 | $3,642.1 | $3,642.1 | $2,185.26 | $3,642.1 | $3,642.1 |
| MRI brain with and without contrast | CPT | 70553 | 70 | $994.64 | $994.64 | $596.78 | $994.64 | $994.64 |
| Chest X-ray single view | CPT | 71045 | 70 | $233.73 | $233.73 | $105.75 | $176.25 | $233.73 |
| Chest X-ray 2 views | CPT | 71046 | 70 | $218.59 | $218.59 | $109.39 | $182.31 | $218.59 |
| Chest X-ray 3 views | CPT | 71047 | 70 | $454.37 | $454.37 | $272.62 | $454.37 | $454.37 |
| CT chest without contrast | CPT | 71250 | 70 | $294.45 | $294.45 | $176.67 | $294.45 | $294.45 |
| CT chest with contrast | CPT | 71260 | 70 | $326.09 | $326.09 | $195.65 | $326.09 | $326.09 |
| CT chest with and without contrast | CPT | 71270 | 70 | $2,916.39 | $2,916.39 | $1,749.83 | $2,916.39 | $2,916.39 |
| MRI chest without contrast | CPT | 71550 | 70 | $2,110.66 | $2,110.66 | $1,266.4 | $2,110.66 | $2,110.66 |
| MRI chest with contrast | CPT | 71551 | 70 | $3,147.6 | $3,147.6 | $1,888.56 | $3,147.6 | $3,147.6 |
| MRI chest with and without contrast | CPT | 71552 | 70 | $3,577.29 | $3,577.29 | $2,146.37 | $3,577.29 | $3,577.29 |
| Lumbosacral spine X-ray | CPT | 72100 | 70 | $338.08 | $338.08 | $202.85 | $338.08 | $338.08 |
| CT cervical spine without contrast | CPT | 72125 | 70 | $294.45 | $294.45 | $176.67 | $294.45 | $294.45 |
| CT thoracic spine without contrast | CPT | 72128 | 70 | $326.09 | $326.09 | $195.65 | $326.09 | $326.09 |
| CT lumbar spine without contrast | CPT | 72131 | 70 | $338.08 | $338.08 | $202.85 | $338.08 | $338.08 |
| MRI cervical spine without contrast | CPT | 72141 | 70 | $621.8 | $621.8 | $373.08 | $621.8 | $621.8 |
| MRI thoracic spine without contrast | CPT | 72146 | 70 | $686.17 | $686.17 | $411.7 | $686.17 | $686.17 |
| MRI lumbar spine without contrast | CPT | 72148 | 70 | $621.8 | $621.8 | $373.08 | $621.8 | $621.8 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 70 | $5,914.59 | $5,914.59 | $3,548.75 | $5,914.59 | $5,914.59 |
| MRI cervical spine with and without contrast | CPT | 72156 | 70 | $994.64 | $994.64 | $596.78 | $994.64 | $994.64 |
| MRI lumbar spine with contrast | CPT | 72158 | 70 | $994.64 | $994.64 | $596.78 | $994.64 | $994.64 |
| CT pelvis without contrast | CPT | 72192 | 70 | $338.08 | $338.08 | $202.85 | $338.08 | $338.08 |
| CT pelvis with contrast | CPT | 72193 | 70 | $746.48 | $746.48 | $447.89 | $746.48 | $746.48 |
| Shoulder X-ray | CPT | 73030 | 70 | $311.83 | $311.83 | $140.24 | $260.13 | $311.83 |
| Humerus X-ray | CPT | 73060 | 70 | $368.36 | $368.36 | $131.15 | $289.73 | $368.36 |
| Hand X-ray 3 views | CPT | 73130 | 70 | $267.99 | $267.99 | $139.38 | $233.73 | $267.99 |
| MRI upper extremity joint without contrast | CPT | 73221 | 70 | $733.26 | $733.26 | $411.7 | $686.17 | $733.26 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 70 | $1,297.58 | $1,297.58 | $778.55 | $1,297.58 | $1,297.58 |
| Knee X-ray 1-2 views | CPT | 73560 | 70 | $336 | $336 | $128.47 | $218.59 | $336 |
| Ankle X-ray 3 views | CPT | 73610 | 70 | $338.02 | $338.02 | $131.15 | $263.68 | $338.02 |
| MRI lower extremity joint without contrast | CPT | 73721 | 70 | $630.3 | $630.3 | $378.18 | $630.3 | $630.3 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 70 | $829.15 | $829.15 | $497.47 | $829.11 | $829.15 |
| CT abdomen without contrast | CPT | 74150 | 70 | $294.45 | $294.45 | $176.67 | $294.45 | $294.45 |
| CT abdomen with contrast | CPT | 74160 | 70 | $791.32 | $791.32 | $474.79 | $791.32 | $791.32 |
| CT abdomen with and without contrast | CPT | 74170 | 70 | $6,371.64 | $6,371.64 | $3,822.98 | $6,371.64 | $6,371.64 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 70 | $630.05 | $630.05 | $378.03 | $630.05 | $630.05 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 70 | $994.64 | $994.64 | $596.78 | $994.64 | $994.64 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 70 | $746.48 | $746.48 | $447.89 | $746.48 | $746.48 |
| MRI abdomen without contrast | CPT | 74181 | 70 | $3,290.19 | $3,290.19 | $1,974.11 | $3,290.19 | $3,290.19 |
| MRI abdomen with and without contrast | CPT | 74183 | 70 | $5,385.09 | $5,385.09 | $3,231.05 | $5,385.09 | $5,385.09 |
| Abdominal ultrasound complete | CPT | 76700 | 70 | $338.08 | $338.08 | $202.85 | $338.08 | $338.08 |
| Abdominal ultrasound limited | CPT | 76705 | 70 | $294.45 | $294.45 | $176.67 | $294.45 | $294.45 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 70 | $445.18 | $445.18 | $202.85 | $338.08 | $445.18 |
| Obstetric ultrasound first trimester | CPT | 76801 | 70 | $771.14 | $771.14 | $462.68 | $771.14 | $771.14 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 70 | $886.71 | $886.71 | $532.03 | $886.71 | $886.71 |
| Transvaginal ultrasound | CPT | 76830 | 70 | $945.03 | $945.03 | $567.02 | $945.03 | $945.03 |
| Pelvic ultrasound complete | CPT | 76856 | 70 | $858.52 | $858.52 | $515.11 | $858.52 | $858.52 |
| Scrotal ultrasound | CPT | 76870 | 70 | $338.08 | $338.08 | $202.85 | $338.08 | $338.08 |
| Diagnostic mammography bilateral | CPT | 77066 | 70 | $471.83 | $471.83 | $283.1 | $471.83 | $471.83 |
| Screening mammography bilateral | CPT | 77067 | 70 | $206.97 | $206.97 | $124.18 | $206.97 | $206.97 |
| EKG complete | CPT | 93000 | 70 | $504.49 | $504.49 | $302.69 | $504.49 | $504.49 |
| EKG tracing only | CPT | 93005 | 70 | $311.82 | $311.82 | $172.12 | $286.86 | $311.82 |
| Transthoracic echocardiogram complete | CPT | 93306 | 70 | $1,437.5 | $1,437.5 | $581.54 | $969.23 | $1,437.5 |
| Transthoracic echocardiogram | CPT | 93307 | 70 | $1,235.97 | $1,235.97 | $741.58 | $1,235.97 | $1,235.97 |
| Stress echocardiogram | CPT | 93350 | 70 | $1,307.26 | $1,307.26 | $784.36 | $1,307.26 | $1,307.26 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | $30,165 | $30,165 | $2,356 | $2,356 | $2,356 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | $15,155 | $15,155 | $2,356 | $2,356 | $2,356 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | $10,266 | $10,266 | $2,356 | $2,356 | $2,356 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 1 | $23,441 | $23,441 | $2,356 | $2,356 | $2,356 |
| COPD w MCC | MS-DRG | 190 | 1 | $16,616 | $16,616 | $2,356 | $2,356 | $2,356 |
| COPD w CC | MS-DRG | 191 | 1 | $12,645 | $12,645 | $2,356 | $2,356 | $2,356 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | $9,630 | $9,630 | $2,356 | $2,356 | $2,356 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | $12,089 | $12,089 | $2,356 | $2,356 | $2,356 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | $9,427.5 | $9,427.5 | $2,356 | $2,356 | $2,356 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | $24,062 | $24,062 | $2,356 | $2,356 | $2,356 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | $13,787 | $13,787 | $2,356 | $2,356 | $2,356 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | $10,847 | $10,847 | $2,356 | $2,356 | $2,356 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | $19,257 | $19,257 | $2,356 | $2,356 | $2,356 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | $12,735 | $12,735 | $2,356 | $2,356 | $2,356 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | $8,490 | $8,490 | $2,356 | $2,356 | $2,356 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | $18,060 | $18,060 | $2,356 | $2,356 | $2,356 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 1 | $11,036 | $11,036 | $2,356 | $2,356 | $2,356 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | $8,491.5 | $8,491.5 | $2,356 | $2,356 | $2,356 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | $14,711 | $14,711 | $2,356 | $2,356 | $2,356 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | $9,456 | $9,456 | $2,356 | $2,356 | $2,356 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | $11,694 | $11,694 | $2,356 | $2,356 | $2,356 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | $23,516 | $23,516 | $2,356 | $2,356 | $2,356 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | $17,405 | $17,405 | $2,356 | $2,356 | $2,356 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | $12,143 | $12,143 | $2,356 | $2,356 | $2,356 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | $29,138 | $29,138 | $2,356 | $2,356 | $2,356 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | $15,350 | $15,350 | $2,356 | $2,356 | $2,356 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 70 | $264.71 | $264.71 | $19.36 | $35.6 | $264.71 |
| Electrolyte panel | CPT | 80051 | 70 | $420.24 | $420.24 | $16.06 | $139.45 | $420.24 |
| Comprehensive metabolic panel | CPT | 80053 | 70 | $44.47 | $44.47 | $24.17 | $40.29 | $44.47 |
| Lipid panel | CPT | 80061 | 70 | $56.36 | $56.36 | $30.65 | $51.08 | $56.36 |
| Renal function panel | CPT | 80069 | 70 | $36.55 | $36.55 | $19.87 | $33.12 | $36.55 |
| Hepatic function panel | CPT | 80076 | 70 | $34.39 | $34.39 | $18.71 | $31.18 | $34.39 |
| Urinalysis non-automated | CPT | 81002 | 70 | $90.35 | $90.35 | $6.45 | $32.48 | $90.35 |
| Urinalysis automated | CPT | 81003 | 70 | $12.11 | $12.11 | $5.27 | $8.78 | $12.11 |
| Glucose quantitative | CPT | 82947 | 70 | $50.93 | $50.93 | $7.28 | $16.48 | $50.93 |
| Hemoglobin A1c | CPT | 83036 | 70 | $40.85 | $40.85 | $22.23 | $37.05 | $40.85 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 70 | $207.03 | $207.03 | $38.47 | $77.45 | $207.03 |
| Complete blood count with automated differential | CPT | 85025 | 70 | $32.72 | $32.72 | $17.78 | $29.63 | $32.72 |
| Complete blood count without differential | CPT | 85027 | 70 | $24.66 | $24.66 | $14.8 | $24.66 | $24.66 |
| Urine culture bacterial | CPT | 87086 | 70 | $30.78 | $30.78 | $17.67 | $29.45 | $30.78 |
| Urine culture identification | CPT | 87088 | 70 | $30.78 | $30.78 | $14.07 | $23.45 | $30.78 |
| Tissue exam by pathologist level IV | CPT | 88305 | 70 | $387.28 | $387.28 | $79.1 | $182.1 | $387.28 |
| office | ||||||||
| Office visit, new patient, 45-59 min | CPT | 99204 | 70 | $1,904.52 | $1,904.52 | $1,142.71 | $1,904.52 | $1,904.52 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 70 | $1,868.43 | $1,868.43 | $1,121.06 | $1,868.43 | $1,868.43 |
| Office visit, established patient, 5 min | CPT | 99211 | 70 | $187.54 | $187.54 | $112.52 | $187.54 | $187.54 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 70 | $172.11 | $172.11 | $103.27 | $172.11 | $172.11 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 70 | $752.58 | $752.58 | $451.55 | $752.58 | $752.58 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 70 | $385.76 | $385.76 | $231.46 | $385.76 | $385.76 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | $68,948 | $68,948 | $2,356 | $2,356 | $2,356 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | $35,958 | $35,958 | $2,356 | $2,356 | $2,356 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | $25,244 | $25,244 | $2,356 | $2,356 | $2,356 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | $25,374 | $25,374 | $2,356 | $2,356 | $2,356 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | $20,487 | $20,487 | $2,356 | $2,356 | $2,356 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | $51,107 | $51,107 | $2,356 | $2,356 | $2,356 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | $45,498 | $45,498 | $2,356 | $2,356 | $2,356 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | $28,934 | $28,934 | $2,356 | $2,356 | $2,356 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | $43,685 | $43,685 | $2,356 | $2,356 | $2,356 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | $31,418 | $31,418 | $2,356 | $2,356 | $2,356 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | $24,465 | $24,465 | $2,356 | $2,356 | $2,356 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | $43,311 | $43,311 | $2,356 | $2,356 | $2,356 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | $24,005 | $24,005 | $2,356 | $2,356 | $2,356 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | $22,626 | $22,626 | $2,356 | $2,356 | $2,356 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | $18,611 | $18,611 | $2,356 | $2,356 | $2,356 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | $30,737 | $30,737 | $2,356 | $2,356 | $2,356 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| bakersfield school district (smbc) | 125 | $488.56 |
| allyalign health (nhc advantage) | 82 | $311.82 |
| Cigna | 82 | $311.82 |
| Anthem BCBS | 82 | $288.18 |
| architectural systems, inc. (asi) | 82 | $311.82 |
| ava r1 school district (smbc) | 82 | $311.82 |
| Ambetter | 82 | $311.82 |
| blue access | 82 | $311.82 |
| Blue Cross Blue Shield | 82 | $311.82 |
| blue preferred | 82 | $225.91 |
| bolivar school (smbc) | 82 | $311.82 |
| buchheit | 82 | $311.82 |
| cardinal scale (tri state healthcare coalition) | 82 | $311.82 |
| carthage r-9 school district (tri-state healthcare coalition) | 82 | $311.82 |
| allwell from home state health | 82 | $311.82 |
| city of springfield | 82 | $311.82 |
| city of webb city (tri state healthcare coalition) | 82 | $311.82 |
| devoted healthcare | 82 | $311.82 |
| diversified plastics | 82 | $311.82 |
| dora school district (smbc) | 82 | $311.82 |
| easter seals midwest | 82 | $311.82 |
| Empire BCBS | 82 | $311.82 |
| employers benefit alliance | 82 | $311.82 |
| essence | 82 | $311.82 |
| evolutions | 82 | $311.82 |
| fabick cat | 82 | $311.82 |
| fair grove school district (smbc) | 82 | $311.82 |
| First Health | 82 | $227.63 |
| Health Net | 82 | $311.82 |
| Aetna | 82 | $233.73 |