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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercy Hospital Springfield

Mercy Health (MO) · Springfield, MO

1235 East Cherokee Street, Springfield, MO 65804(417) 820-2000

3 of 5

CMS star rating

621

Beds

37,803

Inpatient discharges a year

$1.4B

Net patient revenue a year

39

In-network payers

About this hospital

Mercy Hospital Springfield is a 621-bed voluntary non-profit - private hospital in Springfield, MO, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 485 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
260065
NPI
1578504056
Website
mercy.net
Health system
Mercy Health (MO)
Teaching
No Medicare-funded residents
County
Greene County
Metro area
Springfield, MO MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2008

Prices for common services

The 24 services Mercy Hospital Springfield 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

$4,165 - $7,323

from 4 insurers · median $6,745

Aetna$7,323
Insurer A*$4,165
Insurer B*$6,639
Insurer C*$6,851

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 · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,239 - $10,415

from 3 insurers · median $9,411

Aetna$10,415
Insurer A*$9,239
Insurer B*$9,411

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$617 - $1,070

from 4 insurers · median $823

Aetna$930
Insurer A*$617
Insurer B*$717
Insurer C*$1,070
Medicare $313Nearby hospitals $55349% above nearby hospitals

Common here, based on CMS Medicare volume

Nuclear imaging

PET/CT tumor imaging from skull base to thigh

CPT 78815

$1,300 - $6,732

from 4 insurers · median $3,836

Cigna$5,470
Insurer A*$1,300
Insurer B*$2,201
Insurer C*$6,732
Medicare $1,283Nearby hospitals $2,47555% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mercy Hospital Springfield

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*12
405%
81
Insurer B*23
173%
145
Insurer C*23
169%
510
Insurer D*24
166%
316

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 Mercy Hospital Springfield, 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

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

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 44 services, including trauma care
    • 1,265 affiliated clinicians
    See doctors and services
  • Finances

    $1.4B net patient revenue

    • Operating margin on patient care 10.8%
    • $37.6M unreimbursed and uncompensated care
    • $168.9M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health

    • Private (not for profit)
    • David G Argueta, 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 Mercy Hospital Springfield in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
44-0552485(multi-state) Mercy Hospital Springfield64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 59 more1558573410 Mercy Hospital Springfield1144430760 Mercy Hospital Springfield1578504056 Mercy Hospital Springfieldand 69 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

1235 East Cherokee Street, Springfield, MO 65804

(417) 820-2000

Get directions

Frequently asked questions

About Mercy Hospital Springfield's rates and hospital price transparency.

How much does an MRI cost at Mercy Hospital Springfield?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Springfield range from $617 to $1,744 across 4 insurers. Cigna's rate is $1,744. The median at nearby comparable hospitals is $861. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercy Hospital Springfield?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Springfield range from $617 to $1,070 across 4 insurers. Aetna's rate is $930. The median at nearby comparable hospitals is $553. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercy Hospital Springfield?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Hospital Springfield range from $1,426 to $3,004 across 3 insurers. Blue Cross Blue Shield's rate is $1,426. The median at nearby comparable hospitals is $2,190. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercy Hospital Springfield?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Hospital Springfield range from $4,165 to $7,323 across 4 insurers. Aetna's rate is $7,323. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Hospital Springfield?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Springfield range from $102 to $159 across 3 insurers. Blue Cross Blue Shield's rate is $137. The median at nearby comparable hospitals is $232. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mercy Hospital Springfield?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercy Hospital Springfield range from $19,760 to $20,952 across 3 insurers. UnitedHealthcare's rate is $20,388. The median at nearby comparable hospitals is $25,020. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercy Hospital Springfield's CMS star rating?

Mercy Hospital Springfield 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 Mercy Hospital Springfield a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mercy Hospital Springfield for fiscal year 2027.

Does Medicare penalize Mercy Hospital Springfield for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy Hospital Springfield'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 Mercy Hospital Springfield?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (527 discharges), heart failure and shock with mcc (251 discharges), simple pneumonia and pleurisy with mcc (147 discharges).

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
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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
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