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 Rt
Lebanon, MO
See all hospitals reporting CPT 73100 →Price type
Mercy Hospital Lebanon dba Mercy Hospital Lebanon’s median price of $222 is 84% above the median hospital's median price ($121), higher than 76% 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: 16 payers, 31 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 lebn ok medicaid facility · fee schedule · outpatient | $21.64 | $21.64 | $21.64 – $21.64 |
| 2 | Devoted hb lebn devoted health medicare advantage 104% w/seq facility · other · outpatient | $38.10 | $38.10 | $38.10 – $38.10 |
| 3 | Medicaid hb lebn mo medicaid facility · fee schedule · outpatient | $75.06 | $75.06 | $75.06 – $75.06 |
| 4 | Ambetter hb lebn ambetter exchange mo facility · fee schedule · outpatient | $78.97 | $78.97 | $78.97 – $78.97 |
| 5 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $88.12 | $88.12 | $88.12 – $88.12 |
| 6 | Aetna hb lebn medicare facility · other · outpatient | $91.58 | $91.58 | $91.58 – $91.58 |
| 7 | Blue Cross Blue Shield hb lebn medicare facility · other · outpatient | $91.58 | $91.58 | $91.58 – $91.58 |
| 8 | Cigna hb lebn medicare facility · other · outpatient | $91.58 | $91.58 | $91.58 – $91.58 |
| 9 | Humana hb lebn humana mcr new 1.1.24 facility · other · outpatient | $91.58 | $91.58 | $91.58 – $91.58 |
| 10 | Medica hb lebn medicare facility · other · outpatient | $91.58 | $91.58 | $91.58 – $91.58 |
| 11 | Medicare hb lebn medicare facility · other · outpatient | $91.58 | $91.58 | $91.58 – $91.58 |
| 12 | Tricare hb lebn tricare facility · other · outpatient | $91.58 | $91.58 | $91.58 – $91.58 |
| 13 | UnitedHealthcare hb lebn medicare facility · other · outpatient | $91.58 | $91.58 | $91.58 – $91.58 |
| 14 | UnitedHealthcare hb lebn uhc mo medicaid facility · fee schedule · outpatient | $112.59 | $112.59 | $112.59 – $112.59 |
| 15 | Blue Cross Blue Shield hb lebn mo care health plan/healthy blue facility · fee schedule · outpatient | $113.34 | $113.34 | $113.34 – $113.34 |
| 16 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $170.64 | $166.14 | $116.53 – $256.36 |
| 17 | Blue Cross Blue Shield hb lebn anthem pathways exchange facility · fee schedule · outpatient | $182.46 | $182.46 | $182.46 – $182.46 |
| 18 | Blue Cross Blue Shield hb lebn anthem blue preferred facility · fee schedule · outpatient | $196.03 | $196.03 | $196.03 – $196.03 |
| 19 | Anthem hb lebn anthem alliance facility · fee schedule · outpatient | $196.45 | $196.45 | $196.45 – $196.45 |
| 20 | Blue Cross Blue Shield hb lebn anthem alliance facility · fee schedule · outpatient | $196.45 | $196.45 | $196.45 – $196.45 |
| 21 | Anthem hb lebn anthem blue access/access choice facility · fee schedule · outpatient | $222.26 | $222.26 | $222.26 – $222.26 |
| 22 | Blue Cross Blue Shield hb lebn anthem blue access/access choice facility · fee schedule · outpatient | $222.26 | $222.26 | $222.26 – $222.26 |
| 23 | Blue Cross Blue Shield hb lebn anthem traditional facility · fee schedule · outpatient | $226.78 | $226.78 | $226.78 – $226.78 |
| 24 | Cigna hb lebn cigna facility · percent of total billed charges · outpatientfrom % of charges | $319.68 | $311.24 | $218.30 – $480.26 |
| 25 | Aetna hb lebn aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $324.00 | $315.45 | $221.25 – $486.75 |
Last updated: Jun 10, 2026
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