PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Cox Medical Center South

Cox Health · Springfield, MO

3801 S National Ave, Springfield, MO 65807(417) 269-6000

3 of 5

CMS star rating

829

Beds

32,655

Inpatient discharges a year

$1.8B

Net patient revenue a year

39

In-network payers

About this hospital

Cox Medical Center South is an 829-bed voluntary non-profit - private hospital in Springfield, MO, affiliated with Cox Health. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 311 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
260040
NPI
1093740128
Health system
Cox Health
Teaching
Teaching hospital
County
Greene County
Metro area
Springfield, MO MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2011

Prices for common services

The 24 services Cox Medical Center South most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,402 - $8,832

from 3 insurers · median $4,634

Cigna$8,832
Insurer A*$4,402
Insurer B*$4,634

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,764 - $4,585

from 4 insurers · median $2,066

Aetna$4,585
Insurer A*$1,764
Insurer B*$1,835
Insurer C*$2,297
Medicare $312Nearby hospitals $619234% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,207 - $10,769

from 3 insurers · median $8,038

Cigna$10,769
Insurer A*$6,207
Insurer B*$8,038

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$6,140 - $9,167

from 2 insurers · median $7,654

Aetna$6,140
Insurer A*$9,167
Medicare $2,891Nearby hospitals $3,495119% above nearby hospitals

41 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Cox Medical Center South

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*17
716%
131
Insurer B*19
589%
122
Insurer C*15
433%
93
Insurer D*20
399%
200

How we chose these services: 7 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Cox Medical Center South, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    3 of 5 stars

    • 219 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.28%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 51 services, including trauma & transplant care
    • 1,195 affiliated clinicians
    See doctors and services
  • Finances

    $1.8B net patient revenue

    • Operating margin on patient care -6.9%
    • $49.1M unreimbursed and uncompensated care
    • $17.4M net income
    See finances
  • Ownership and leadership

    Owned by Coxhealth

    • Private (not for profit)
    • Max Buetow, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Cox Medical Center South in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
44-0577118(multi-state) Lester E Cox Medical Centers66Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 61 more1245581131 Lester E Cox Medical Centers1114044823 Lester E Cox Medical Centers1346996642 Lester E Cox Medical Centersand 156 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

3801 S National Ave, Springfield, MO 65807

(417) 269-6000

Get directions

Frequently asked questions

About Cox Medical Center South's rates and hospital price transparency.

How much does an MRI cost at Cox Medical Center South?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cox Medical Center South range from $1,465 to $3,554 across 4 insurers. Blue Cross Blue Shield's rate is $3,554. The median at nearby comparable hospitals is $658. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Cox Medical Center South?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cox Medical Center South range from $1,764 to $4,585 across 4 insurers. Aetna's rate is $4,585. The median at nearby comparable hospitals is $619. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Cox Medical Center South?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Cox Medical Center South range from $4,402 to $8,832 across 3 insurers. Cigna's rate is $8,832. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Cox Medical Center South?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cox Medical Center South range from $241 to $678 across 3 insurers. UnitedHealthcare's rate is $241. The median at nearby comparable hospitals is $128. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Cox Medical Center South's CMS star rating?

Cox Medical Center South has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Cox Medical Center South a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Cox Medical Center South for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Cox Medical Center South for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Cox Medical Center South's base inpatient payments by an estimated 0.28% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Cox Medical Center South?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (435 discharges), psychoses (190 discharges), simple pneumonia and pleurisy with mcc (128 discharges).

What is Cox Medical Center South's case mix index?

Cox Medical Center South's Medicare case mix index is 1.99 for fiscal year 2027, higher than 77% of hospitals paid under the inpatient prospective payment system.

How many patients does Cox Medical Center South admit?

Cox Medical Center South reported 32,655 inpatient discharges and 176,737 inpatient days from Oct 1, 2024 to Sep 30, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster