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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercy Health - Springfield Regional Medical Center

Mercy Health (Ohio) ยท Springfield, OH

100 Medical Center Drive, Springfield, OH 45504(937) 523-1000

36

In-network payers

312

Disclosed rate categories

230

Beds

3

Care quality

About this hospital

Mercy Health - Springfield Regional Medical Center is a 230-bed voluntary non-profit - private hospital in Springfield, OH, affiliated with Mercy Health (Ohio). Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 312 disclosed rate categories.

CCN (Medicare provider number)

360086

NPI

1144286402

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

230

Care Quality

3

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

Prices for common services

The 24 services Mercy Health - Springfield Regional Medical Center 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.

Childbirth ยท Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$10,435 - $16,526

from 4 insurers ยท median $11,157

Aetna$10,970
Insurer A*$10,435
Insurer B*$11,343
Insurer C*$16,526

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

Childbirth ยท Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$13,636 - $23,502

from 4 insurers ยท median $14,365

Aetna$14,329
Insurer A*$13,636
Insurer B*$14,402
Insurer C*$23,502

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

Medicine & Surgery ยท Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$135,433 - $239,791

from 4 insurers ยท median $163,391

Aetna$171,409
Insurer A*$135,433
Insurer B*$155,374
Insurer C*$239,791
Medicare $90,833Nearby hospitals $170,963In line with nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$9,499 - $33,743

from 4 insurers ยท median $18,700

Aetna$9,499
Insurer A*$11,687
Insurer B*$25,714
Insurer C*est.$33,743
Medicare $5,679Nearby hospitals $18,600In line with nearby hospitals

34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Childbirth ยท Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$10,435 - $16,526

from 4 insurers ยท median $11,157

Aetna$10,970
Insurer A*$10,435
Insurer B*$11,343
Insurer C*$16,526

CMS lists this service as CPT 59610, 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

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$9,516 - $42,955

from 4 insurers ยท median $18,700

Blue Cross$25,714
Insurer A*$9,516
Insurer B*$11,687
Insurer C*est.$42,955
Medicare $5,679Nearby hospitals $17,6436% above nearby hospitals

34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$3,550 - $9,321

from 4 insurers ยท median $5,623

Blue Cross$5,592
Insurer A*$3,550
Insurer B*$5,654
Insurer C*est.$9,321
Medicare $1,124Nearby hospitals $6,83218% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$715 - $1,986

from 4 insurers ยท median $974

Cigna$1,120
Insurer A*$715
Insurer B*$829
Insurer C*$1,986
Medicare $328Nearby hospitals $49696% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery ยท Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$58,340 - $70,130

from 3 insurers ยท median $59,830

Aetna$59,830
Insurer A*$58,340
Insurer B*$70,130
Medicare $27,950Nearby hospitals $70,48015% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

Digestive procedures

Laparoscopic gallbladder removal with bile-duct imaging

CPT 47563

$9,823 - $35,745

from 4 insurers ยท median $18,700

Blue Cross$25,714
Insurer A*$9,823
Insurer B*$11,687
Insurer C*est.$35,745
Medicare $5,679Nearby hospitals $18,600In line with nearby hospitals

34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,509 - $8,156

from 4 insurers ยท median $3,836

Blue Cross$4,121
Insurer A*$3,509
Insurer B*$3,550
Insurer C*est.$8,156
Medicare $852Nearby hospitals $7,01445% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery ยท Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$40,432 - $59,840

from 4 insurers ยท median $45,585

Aetna$50,095
Insurer A*$40,432
Insurer B*$41,075
Insurer C*$59,840
Medicare $16,162Nearby hospitals $44,676In line with nearby hospitals

Hospital reports orthopedic surgery services to CMS

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$9,516 - $45,738

from 4 insurers ยท median $20,281

UnitedHealthcare$11,687
Insurer A*$9,516
Insurer B*$28,874
Insurer C*est.$45,738
Medicare $9,986Nearby hospitals $19,554In line with nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$369 - $2,252

from 2 insurers ยท median $1,311

Aetna$369
Insurer A*$2,252
Medicare $513Nearby hospitals $1,61619% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$5,565 - $9,600

from 3 insurers ยท median $8,020

Aetna$9,600
Insurer A*$5,565
Insurer B*$8,020
Medicare $2,358Nearby hospitals $7,989In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$240 - $701

from 4 insurers ยท median $459

Cigna$332
Insurer A*$240
Insurer B*$587
Insurer C*$701
Medicare $98Nearby hospitals $33836% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$9,600 - $25,714

from 4 insurers ยท median $18,036

UnitedHealthcare$11,687
Insurer A*$9,600
Insurer B*est.$24,385
Insurer C*$25,714
Medicare $5,679Nearby hospitals $18,600In line with nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$1,038 - $5,724

from 4 insurers ยท median $2,551

Blue Cross$5,724
Insurer A*$1,038
Insurer B*$2,116
Insurer C*$2,986
Medicare $1,216Nearby hospitals $2,606In line with nearby hospitals

Common here, based on CMS Medicare volume

Nuclear imaging

PET/CT tumor imaging from skull base to thigh

CPT 78815

$3,351 - $6,036

from 4 insurers ยท median $4,053

Blue Cross$6,036
Insurer A*$3,351
Insurer B*$3,919
Insurer C*$4,186
Medicare $1,343Nearby hospitals $3,56214% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$5,565 - $12,109

from 4 insurers ยท median $9,943

UnitedHealthcare$5,565
Insurer A*$8,241
Insurer B*$11,645
Insurer C*est.$12,109
Medicare $3,041Nearby hospitals $10,445In line with nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$9,684 - $50,293

from 4 insurers ยท median $18,700

UnitedHealthcare$11,687
Insurer A*$9,684
Insurer B*$25,714
Insurer C*est.$50,293
Medicare $5,679Nearby hospitals $18,600In line with nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$128 - $211

from 4 insurers ยท median $155

Cigna$180
Insurer A*est.$128
Insurer B*$129
Insurer C*$211
Medicare $85Nearby hospitals $1646% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$525 - $1,000

from 4 insurers ยท median $616

Cigna$532
Insurer A*$525
Insurer B*$701
Insurer C*$1,000
Medicare $224Nearby hospitals $6688% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT angiography of chest blood vessels

CPT 71275

$406 - $1,020

from 4 insurers ยท median $741

Cigna$1,020
Insurer A*$406
Insurer B*$701
Insurer C*$782
Medicare $165Nearby hospitals $333122% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mercy Health - Springfield Regional Medical Center

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*24
416%
172
Insurer B*21
408%
88
Insurer C*23
225%
713
Insurer D*24
180%
812

How we chose these services: 3 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 11 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 Mercy Health - Springfield Regional Medical Center.

Location

100 Medical Center Drive, Springfield, OH 45504

(937) 523-1000

Get directions

Frequently asked questions

About Mercy Health - Springfield Regional Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Mercy Health - Springfield Regional Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Health - Springfield Regional Medical Center range from $715 to $1,986 across 4 insurers. Cigna's rate is $1,120. The median at nearby comparable hospitals is $496. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercy Health - Springfield Regional Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Health - Springfield Regional Medical Center range from $3,550 to $9,321 across 4 insurers. Blue Cross Blue Shield's rate is $5,592. The median at nearby comparable hospitals is $6,832. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercy Health - Springfield Regional Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Health - Springfield Regional Medical Center range from $10,435 to $16,526 across 4 insurers. Aetna's rate is $10,970. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Health - Springfield Regional Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Health - Springfield Regional Medical Center range from $128 to $211 across 4 insurers. Cigna's rate is $180. The median at nearby comparable hospitals is $164. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Mercy Health - Springfield Regional Medical Center have?

Mercy Health - Springfield Regional Medical Center has 230 beds. Facility type: Short Term Acute Care Hospital.

Where is Mercy Health - Springfield Regional Medical Center and what is its phone number?

Mercy Health - Springfield Regional Medical Center is located at 100 Medical Center Drive, Springfield, OH 45504. Its main phone number is (937) 523-1000.

What is Mercy Health - Springfield Regional Medical Center's CCN (Medicare provider number)?

Mercy Health - Springfield Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 360086.

What is Mercy Health - Springfield Regional Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Mercy Health - Springfield Regional Medical Center is 1144286402.

What health system is Mercy Health - Springfield Regional Medical Center part of?

Mercy Health - Springfield Regional Medical Center is affiliated with Mercy Health (Ohio).

Which insurance plans are in network at Mercy Health - Springfield Regional Medical Center?

Mercy Health - Springfield Regional Medical Center lists 36 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

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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.

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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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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