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 Spine Lumbar 2 or 3 Views
Perryville, MO
See all hospitals reporting CPT 72100 →Price type
Mercy Perry’s median price of $125 is 13% below the median hospital's median price ($144), higher than 39% of the 2,629 hospitals reporting CPT 72100. 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 | $40.28 | $40.28 | $18.75 – $61.80 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $81.65 | $81.65 | $38.01 – $125.29 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $81.65 | $81.65 | $38.01 – $125.29 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $81.65 | $81.65 | $38.01 – $125.29 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $81.65 | $81.65 | $38.01 – $125.29 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $81.65 | $81.65 | $38.01 – $125.29 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $81.65 | $81.65 | $38.01 – $125.29 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $83.24 | $83.24 | $38.75 – $127.72 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $84.90 | $84.90 | $39.53 – $130.27 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $84.93 | $84.93 | $39.54 – $130.32 |
| 11 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $97.33 | $97.33 | $45.31 – $149.35 |
| 12 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $112.77 | $112.77 | $52.50 – $173.04 |
| 13 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $126.92 | $126.92 | $126.92 – $126.92 |
| 14 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $126.92 | $126.92 | $126.92 – $126.92 |
| 15 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $127.27 | $127.27 | $59.25 – $195.29 |
| 16 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $127.54 | $127.54 | $59.38 – $195.70 |
| 17 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $139.62 | $139.62 | $139.62 – $139.62 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $153.05 | $153.05 | $71.25 – $234.84 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $166.47 | $166.47 | $77.50 – $255.44 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $166.47 | $166.47 | $77.50 – $255.44 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $175.87 | $175.87 | $81.88 – $269.86 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $175.87 | $175.87 | $81.88 – $269.86 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $177.21 | $177.21 | $82.50 – $271.92 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $177.21 | $177.21 | $82.50 – $271.92 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $187.95 | $187.95 | $87.50 – $288.40 |
Last updated: Mar 12, 2026
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