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
Cta Head W/WO Cont
Perryville, MO
See all hospitals reporting CPT 70496 →Price type
Mercy Perry’s median price of $431 is 17% below the median hospital's median price ($519), higher than 44% of the 2,615 hospitals reporting CPT 70496. 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 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $212.46 | $212.46 | $212.46 – $212.46 |
| 2 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $212.46 | $212.46 | $212.46 – $212.46 |
| 3 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $233.71 | $233.71 | $233.71 – $233.71 |
| 4 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $262.80 | $262.80 | $76.05 – $449.55 |
| 5 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $532.79 | $532.79 | $154.18 – $911.39 |
| 6 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $532.79 | $532.79 | $154.18 – $911.39 |
| 7 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $532.79 | $532.79 | $154.18 – $911.39 |
| 8 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $532.79 | $532.79 | $154.18 – $911.39 |
| 9 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $532.79 | $532.79 | $154.18 – $911.39 |
| 10 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $532.79 | $532.79 | $154.18 – $911.39 |
| 11 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $543.12 | $543.12 | $157.17 – $929.07 |
| 12 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $553.98 | $553.98 | $160.31 – $947.65 |
| 13 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $554.16 | $554.16 | $160.36 – $947.95 |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $635.08 | $635.08 | $183.78 – $1,086 |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $735.84 | $735.84 | $212.94 – $1,259 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $830.45 | $830.45 | $240.32 – $1,421 |
| 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 | $832.21 | $832.21 | $240.83 – $1,424 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $998.64 | $998.64 | $288.99 – $1,708 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1,086 | $1,086 | $314.34 – $1,858 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,086 | $1,086 | $314.34 – $1,858 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1,148 | $1,148 | $332.09 – $1,963 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1,148 | $1,148 | $332.09 – $1,963 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,156 | $1,156 | $334.62 – $1,978 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,156 | $1,156 | $334.62 – $1,978 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1,226 | $1,226 | $354.90 – $2,098 |
Last updated: Mar 12, 2026
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