X-ray of jaw, four or more views at Mercy Perry

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Xr Mandible Complete Min 4 Views

Perryville, MO

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Perry’s median price of $127 is 15% below the median hospital's median price ($149), higher than 40% of the 2,616 hospitals reporting CPT 70110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70110 at Mercy Perry

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	$49	$49	$28	58%	—	$21 – $78
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	$58	58%	—	$42 – $158
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	$58	58%	—	$42 – $158
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	$58	58%	—	$42 – $158
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	$58	58%	—	$42 – $158
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	$58	58%	—	$42 – $158
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	$58	58%	—	$42 – $158
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$102	$102	$59	58%	2–20	$43 – $161
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$104	$104	$60	58%	—	$44 – $164
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$104	$104	$60	58%	—	$44 – $164
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$119	$119	$69	58%	—	$50 – $188
12	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
13	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
14	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$138	$138	$80	58%	—	$58 – $218
15	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	$90	58%	—	$66 – $246
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	$156	$156	$90	58%	—	$66 – $246
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$187	$187	$108	58%	—	$79 – $295
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$204	$204	$117	58%	—	$86 – $321
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$204	$204	$117	58%	—	$86 – $321
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$215	$215	$124	58%	—	$91 – $339
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$215	$215	$124	58%	—	$91 – $339
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$217	$217	$125	58%	—	$92 – $342
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$217	$217	$125	58%	—	$92 – $342
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$230	$230	$133	58%	—	$97 – $363

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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