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 Min 4 Views Pf
Perryville, MO
See all hospitals reporting CPT 72110 →Price type
Mercy Perry’s median price of $155 is 4% below the median hospital's median price ($161), higher than 47% of the 2,619 hospitals reporting CPT 72110. 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 | $62.70 | $62.70 | $27.30 – $98.10 |
| 2 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $126.92 | $126.92 | $126.92 – $126.92 |
| 3 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $126.92 | $126.92 | $126.92 – $126.92 |
| 4 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $127.12 | $127.12 | $55.35 – $198.88 |
| 5 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $127.12 | $127.12 | $55.35 – $198.88 |
| 6 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $127.12 | $127.12 | $55.35 – $198.88 |
| 7 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $127.12 | $127.12 | $55.35 – $198.88 |
| 8 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $127.12 | $127.12 | $55.35 – $198.88 |
| 9 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $127.12 | $127.12 | $55.35 – $198.88 |
| 10 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $129.58 | $129.58 | $56.42 – $202.74 |
| 11 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $132.17 | $132.17 | $57.55 – $206.79 |
| 12 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $132.22 | $132.22 | $57.57 – $206.86 |
| 13 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $139.62 | $139.62 | $139.62 – $139.62 |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $151.52 | $151.52 | $65.97 – $237.07 |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $175.56 | $175.56 | $76.44 – $274.68 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $198.14 | $198.14 | $86.27 – $310.00 |
| 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 | $198.55 | $198.55 | $86.45 – $310.65 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $238.26 | $238.26 | $103.74 – $372.78 |
| 19 | Blue Cross Blue Shield hb pcmh anthem traditional facility · fee schedule · outpatient | $259.00 | $259.00 | $259.00 – $259.00 |
| 20 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $273.79 | $273.79 | $119.21 – $428.37 |
| 21 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $273.79 | $273.79 | $119.21 – $428.37 |
| 22 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $275.88 | $275.88 | $120.12 – $431.64 |
| 23 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $275.88 | $275.88 | $120.12 – $431.64 |
| 24 | Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges | $311.41 | $311.41 | $135.59 – $487.23 |
| 25 | MultiPlan hb pcmh multiplan facility · percent of total billed charges · outpatientfrom % of charges | $334.40 | $334.40 | $145.60 – $523.20 |
Last updated: Mar 12, 2026
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