Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Xr Wrist 1 View Lt
Booneville, AR
See all hospitals reporting CPT 73100 →Price type
Mercy Hospital Booneville’s median price of $170 is 41% above the median hospital's median price ($121), higher than 66% of the 2,525 hospitals reporting CPT 73100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicaid hb bnvar ark medicaid facility · fee schedule · outpatient | $19.00 | $19.00 | $19.00 – $19.00 |
| 2 | Caresource hb bnvar caresource medicaid facility · fee schedule · outpatient | $19.38 | $19.38 | $19.38 – $19.38 |
| 3 | Medicaid hb bnvar ok medicaid facility · fee schedule · outpatient | $21.64 | $21.64 | $21.64 – $21.64 |
| 4 | Aetna hb bnvar ok managed medicaid facility · fee schedule · outpatient | $28.82 | $28.82 | $28.82 – $28.82 |
| 5 | Humana hb bnvar ok managed medicaid facility · fee schedule · outpatient | $28.82 | $28.82 | $28.82 – $28.82 |
| 6 | Anthem hb bnvar blue cross facility · fee schedule · outpatient | $104.97 | $104.97 | $104.97 – $104.97 |
| 7 | Blue Cross Blue Shield hb bnvar blue cross facility · fee schedule · outpatient | $104.97 | $104.97 | $104.97 – $104.97 |
| 8 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $106.83 | $118.83 | $91.53 – $170.11 |
| 9 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $106.83 | $118.83 | $91.53 – $170.11 |
| 10 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $106.83 | $118.83 | $91.53 – $170.11 |
| 11 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $106.83 | $118.83 | $91.53 – $170.11 |
| 12 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $106.83 | $118.83 | $91.53 – $170.11 |
| 13 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $106.83 | $118.83 | $91.53 – $170.11 |
| 14 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $106.83 | $118.83 | $91.53 – $170.11 |
| 15 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $106.83 | $118.83 | $91.53 – $170.11 |
| 16 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $107.24 | $119.28 | $91.88 – $170.76 |
| 17 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $110.03 | $122.38 | $94.26 – $175.19 |
| 18 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $111.11 | $123.59 | $95.20 – $176.93 |
| 19 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $112.17 | $124.76 | $96.10 – $178.60 |
| 20 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $147.38 | $163.93 | $126.27 – $234.67 |
| 21 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $179.57 | $179.57 | $179.57 – $179.57 |
| 22 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $179.57 | $179.57 | $179.57 – $179.57 |
| 23 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $235.95 | $262.44 | $202.15 – $375.70 |
| 24 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $290.40 | $323.00 | $248.80 – $462.40 |
| 25 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $308.55 | $343.19 | $264.35 – $491.30 |
Last updated: Jun 8, 2026
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