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
Cl Tx Shld Dis W Man WO Anes Pf
Perryville, MO
See all hospitals reporting CPT 23650 →Price type
Mercy Perry’s median price of $541 is 19% above the median hospital's median price ($453), higher than 61% of the 2,361 hospitals reporting CPT 23650. 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, 29 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 wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $134 | $134 | $11 | 8% | — | $123 – $145 |
| 2 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 3 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 4 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $271 | $271 | $22 | 8% | — | $249 – $293 |
| 5 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $271 | $271 | $22 | 8% | — | $249 – $293 |
| 6 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $271 | $271 | $22 | 8% | — | $249 – $293 |
| 7 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $271 | $271 | $22 | 8% | — | $249 – $293 |
| 8 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $271 | $271 | $22 | 8% | — | $249 – $293 |
| 9 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $271 | $271 | $22 | 8% | — | $249 – $293 |
| 10 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $277 | $277 | $22 | 8% | — | $254 – $299 |
| 11 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $282 | $282 | $23 | 8% | — | $259 – $305 |
| 12 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $282 | $282 | $23 | 8% | — | $259 – $305 |
| 13 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $286 | $286 | — | — | — | $286 – $286 |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $323 | $323 | $26 | 8% | — | $297 – $349 |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $375 | $375 | $30 | 8% | — | $344 – $405 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $423 | $423 | $34 | 8% | — | $389 – $457 |
| 17 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $424 | $424 | $34 | 8% | — | $390 – $458 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $508 | $508 | $41 | 8% | — | $467 – $549 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $553 | $553 | $45 | 8% | — | $508 – $598 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $553 | $553 | $45 | 8% | — | $508 – $598 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $584 | $584 | $47 | 8% | — | $537 – $631 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $584 | $584 | $47 | 8% | — | $537 – $631 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $589 | $589 | $48 | 8% | — | $541 – $636 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $589 | $589 | $48 | 8% | — | $541 – $636 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $624 | $624 | $50 | 8% | — | $574 – $675 |
Last updated: Mar 12, 2026
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