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 IP Jt Dis W Man W Anes Mlp
Perryville, MO
See all hospitals reporting CPT 26775 →Price type
Mercy Perry’s median price of $619 is 20% above the median hospital's median price ($514), higher than 57% of the 1,896 hospitals reporting CPT 26775. 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 | $153 | $153 | $12 | 8% | — | $141 – $166 |
| 2 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 3 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 4 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | $25 | 8% | — | $285 – $336 |
| 5 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | $25 | 8% | — | $285 – $336 |
| 6 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | $25 | 8% | — | $285 – $336 |
| 7 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | $25 | 8% | — | $285 – $336 |
| 8 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | $25 | 8% | — | $285 – $336 |
| 9 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | $25 | 8% | — | $285 – $336 |
| 10 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $317 | $317 | $26 | 8% | — | $291 – $342 |
| 11 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 12 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $323 | $323 | $26 | 8% | — | $297 – $349 |
| 13 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $323 | $323 | $26 | 8% | — | $297 – $349 |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $370 | $370 | $30 | 8% | — | $340 – $400 |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $429 | $429 | $35 | 8% | — | $394 – $464 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $484 | $484 | $39 | 8% | — | $445 – $523 |
| 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 | $485 | $485 | $39 | 8% | — | $446 – $524 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $582 | $582 | $47 | 8% | — | $535 – $629 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $633 | $633 | $51 | 8% | — | $582 – $684 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $633 | $633 | $51 | 8% | — | $582 – $684 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $669 | $669 | $54 | 8% | — | $614 – $723 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $669 | $669 | $54 | 8% | — | $614 – $723 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $674 | $674 | $55 | 8% | — | $619 – $729 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $674 | $674 | $55 | 8% | — | $619 – $729 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $715 | $715 | $58 | 8% | — | $657 – $773 |
Last updated: Mar 12, 2026
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