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 Orbits Complete Min 4 Views Pf
Perryville, MO
See all hospitals reporting CPT 70200 →Price type
Mercy Perry’s median price of $182 is 24% above the median hospital's median price ($147), higher than 63% of the 2,558 hospitals reporting CPT 70200. 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 | $55 | $55 | $23 | 42% | — | $32 – $78 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $47 | 42% | 2–20 | $65 – $158 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $47 | 42% | — | $65 – $158 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $47 | 42% | — | $65 – $158 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $47 | 42% | — | $65 – $158 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $47 | 42% | — | $65 – $158 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $47 | 42% | — | $65 – $158 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | $48 | 42% | 2–20 | $66 – $162 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | $49 | 42% | — | $68 – $165 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | $49 | 42% | — | $68 – $165 |
| 11 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 12 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 13 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $133 | $133 | $56 | 42% | — | $78 – $189 |
| 14 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $154 | $154 | $64 | 42% | — | $90 – $219 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $73 | 42% | — | $101 – $247 |
| 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 | $175 | $175 | $73 | 42% | — | $102 – $247 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | $88 | 42% | — | $122 – $297 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $228 | $228 | $95 | 42% | — | $133 – $323 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $228 | $228 | $95 | 42% | — | $133 – $323 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $241 | $241 | $101 | 42% | — | $140 – $341 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $241 | $241 | $101 | 42% | — | $140 – $341 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $101 | 42% | — | $141 – $344 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $101 | 42% | 2–20 | $141 – $344 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $257 | $257 | $107 | 42% | — | $150 – $365 |
Last updated: Mar 12, 2026
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