How many shoppable procedure prices are published for Mercy Hospital Springfield?

Mercy Hospital Springfield in Springfield, MO currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mercy Hospital Springfield's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mercy Hospital Springfield's median negotiated commercial rate is 2.2× the regionally adjusted fair BaseRate benchmark.

What is Mercy Hospital Springfield's CMS Care Compare overall star rating?

CMS Care Compare assigns Mercy Hospital Springfield an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 611 Beds · urban Updated: 6/4/2026

Mercy Hospital Springfield

2115 S. Fremont Ave, Springfield, MO 65804 · 113 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.21×vs. Fair Market Price

Typical commercial prices here are +121% above the fair benchmark (2.21×) even after accounting for local nurse/doctor wages and patient complexity.

88/100 · Verified

88/100Self-Pay Cash Beats Insurance 27% of the Time

File Completeness85

Price Logic91

Peer Alignment76

Clean Billing87

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.21× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +51% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Mercy Hospital Springfield prices routine shoppable procedures at 1.8× Medicare (median 2.00× Fair BaseRate) while upper-quartile commercial rates jump +51% to 3.03× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#77 of 79 in MO · 96th State Percentile#3,172 of 3,385 in U.S. · 93rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.27× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 27% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (62/100 safety score) with 69% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.21× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 2.00× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.03×) jump +51% above the median procedure ratio (Q50 2.00×)
Consolidated metro market (HHI 4,250) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.89× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+51% Upper Tail

Q25 1.27× · Q50 2.00× · Q75 3.03×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

27% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 62/100Elevated

Procedure Prices at Mercy Hospital Springfield

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$52,925	$28,305	$30,775	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$37,998	$17,020	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$29,562	$15,330	$19,432	0.8×
Trauma team activation HCPCS Code: `G0390`	$8,821	$7,361	$1,453	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$16,642	$6,081	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$14,144	$5,940	$6,109	1.0×
Inguinal hernia repair CPT Code: `49505`	$12,167	$3,518	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$11,567	$3,215	$3,372	unverified
Cataract surgery with lens implant CPT Code: `66984`	$9,399	$2,268	$2,540	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$2,915	$2,242	$855	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,094	$1,768	$1,021	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,581	$1,569	$583	unverified
Colonoscopy with biopsy CPT Code: `45380`	$3,464	$1,176	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,791	$1,103	$981	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,358	$1,045	$322	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$4,107	$891	$987	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,320	$812	$272	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,157	$661	$448	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,779	$634	$511	unverified
Blood transfusion CPT Code: `36430`	$656	$433	$498	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,459	$452	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,600	$452	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,874	$452	$369	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,736	$452	$303	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,139	$332	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,358	$332	$258	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$356	$312	$181	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$521	$277	$148	unverified
CT scan, sinuses CPT Code: `70486`	$1,718	$237	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,448	$246	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,314	$242	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,671	$241	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,552	$246	$163	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$519	$198	$151	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$216	$215	$201	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,935	$198	$160	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,279	$211	$134	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$269	$223	$185	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$264	$231	$166	unverified
X-ray, lower back CPT Code: `72110`	$545	$180	$112	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$721	$198	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$902	$198	$130	unverified
Group therapy session CPT Code: `90853`	$263	$215	$100	unverified
X-ray, hip CPT Code: `73502`	$311	$150	$93	1.6×
X-ray, chest (two views) CPT Code: `71046`	$361	$147	$93	1.6×
X-ray, pelvis CPT Code: `72170`	$348	$157	$110	1.4×
Neurobehavioral status check CPT Code: `96116`	$195	$171	$231	0.7×
X-ray, chest (single view) CPT Code: `71045`	$286	$124	$92	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$447	$144	$93	unverified
X-ray, shoulder CPT Code: `73030`	$410	$134	$92	unverified
X-ray, hand CPT Code: `73130`	$406	$144	$93	unverified
X-ray, ankle CPT Code: `73610`	$611	$144	$93	unverified
X-ray, foot CPT Code: `73630`	$395	$144	$92	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$285	$156	$86	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$265	$166	$64	unverified
Orthotic fitting and training CPT Code: `97760`	$122	$84	$51	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$131	$98	$123	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$824	$103	$132	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$138	$81	$110	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$122	$85	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$133	$92	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$127	$88	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$131	$91	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$122	$83	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$115	$82	$38	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$157	$80	$87	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$578	$481	$203	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$289	$232	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$148	$114	$56	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$60	$52	$25	2.1×
Hepatitis B vaccine HCPCS Code: `90744`	$86	$72	$37	1.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$88	$74	$39	1.9×
Speech therapy (group session) CPT Code: `92508`	$101	$51	$27	1.9×
Prosthetic fitting and training CPT Code: `97761`	$81	$59	$45	1.3×
Blood antibody screen CPT Code: `86850`	$158	$51	$46	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$74	$74	$86	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$314	$79	$123	unverified
Physical therapy (gait training) CPT Code: `97116`	$109	$75	$33	unverified
Blood test, vitamin D CPT Code: `82306`	$125	$46	$31	1.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$47	$47	$33	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$57	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$51	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$51	$46	$49	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$160	$62	$20	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$73	$53	$27	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$114	$70	$35	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$92	$6	$3	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$48	$7	$4	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$107	$14	$8	1.8×
Blood test, calcium CPT Code: `82310`	$60	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$57	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$51	$8	$5	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$125	$22	$14	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$148	$14	$9	1.6×
Hepatitis C antibody test CPT Code: `86803`	$88	$23	$15	1.5×
Blood test, vitamin B12 CPT Code: `82607`	$78	$24	$16	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$103	$9	$6	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$266	$16	$11	1.5×
Blood test, liver function panel CPT Code: `80076`	$222	$13	$9	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$121	$20	$18	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$133	$20	$14	unverified
Blood test, amylase CPT Code: `82150`	$121	$10	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$46	$6	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$109	$16	$10	unverified
Blood test, lipase CPT Code: `83690`	$112	$11	$7	unverified
Blood test, magnesium CPT Code: `83735`	$105	$10	$7	unverified
Blood test, potassium CPT Code: `84132`	$60	$7	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$155	$29	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	$43	$4	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$7	$5	unverified
Culture, blood CPT Code: `87040`	$190	$16	$11	unverified
Culture, bacterial CPT Code: `87070`	$171	$14	$9	unverified

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.0%

Audit a Bill or Quote at Mercy Hospital Springfield (Zero PHI Required)

CMS CCN: 260065

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $52,925

Insurer Median $28,305

1. Amount on Your Bill or Quote ($) Pre-filled with Mercy Hospital Springfield’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $35,053 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $35,053

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.0% of gross = $35,053).

Step 2 · Cash vs. Insurance Arbitrage Save $28,498 Paying Cash

Self-Pay Cash Rate ($52,925) Beats Your Bill

Mercy Hospital Springfield's published 45 CFR § 180 self-pay cash rate is $52,925 (vs. $28,305 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$50,648 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($81,423) is $50,648 above the denoised Fair BaseRate ($30,775) and 3.5× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 440552485

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (43.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait293 min

Left ER Before Seen4%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate4.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Mercy Hospital Springfield. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-06·administrative_or_closure
Closure Notice
Recorded
2025-08-22·warning_notice
Warning Notice
Recorded
2024-02-13·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,525 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Hospital Springfield.

Price Index: 1.00× regional baseline

Quality: 66/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Federal Medical Center Contracted [320127]

-52.2%

Healthscope Contracted [320182]

-44.7%

Qual Choice Contracted [320324]

+81.6%

Humana

+99.6%

Median Household Income$57,488U.S. Census ACS

Local Uninsured Share11.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 88/100 · Verified CMS CCN 260065 EIN 440552485

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 260065) ↗ Verify IRS Form 990 (EIN 440552485) ↗ CMS HCRIS Cost Reports ↗

Published MRF File440552485_mercy-hospital-springfield_standardcharges.zip!440552485_mercy-hospital-springfield_standardcharges.csv

Publication / Vintage6/4/2026 · 226.85 MB

Validated Rate Rows18,194 (CMS v3.0.0)

File Integrity Digest96744c8f2b575e08c23c…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy