X-ray of the spine, multiple 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Xr Spine Entire Min 6 Views

Perryville, MO

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Perry’s median price of $164 is 7% below the median hospital's median price ($176), higher than 47% of the 2,159 hospitals reporting CPT 72084. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72084 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	$87	$87	$58	67%	—	$29 – $144
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
3	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
5	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$117	67%	—	$59 – $293
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$117	67%	—	$59 – $293
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$117	67%	—	$59 – $293
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$117	67%	—	$59 – $293
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$117	67%	—	$59 – $293
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$117	67%	—	$59 – $293
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$179	$179	$119	67%	—	$60 – $299
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	$122	67%	—	$61 – $305
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	$122	67%	—	$61 – $305
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	$140	67%	—	$70 – $349
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$243	$243	$162	67%	—	$81 – $404
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	$182	67%	—	$91 – $456
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	$275	$275	$183	67%	—	$92 – $457
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$329	$329	$219	67%	—	$110 – $549
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$358	$358	$239	67%	—	$120 – $597
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$358	$358	$239	67%	—	$120 – $597
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$379	$379	$252	67%	—	$126 – $631
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$379	$379	$252	67%	—	$126 – $631
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$381	$381	$254	67%	—	$127 – $636
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$381	$381	$254	67%	—	$127 – $636
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$405	$405	$270	67%	—	$135 – $674

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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