X-ray of lower spine with bending 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 Lumbar Comp W Bending Min 6 Views Pf

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $206 is 18% above the median hospital's median price ($174), higher than 57% of the 2,546 hospitals reporting CPT 72114. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72114 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	$83	$83	$47	56%	—	$36 – $130
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	$169	$169	$95	56%	2–20	$74 – $264
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$169	$169	$95	56%	2–20	$74 – $264
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$169	$169	$95	56%	—	$74 – $264
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$169	$169	$95	56%	2–20	$74 – $264
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$169	$169	$95	56%	—	$74 – $264
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$169	$169	$95	56%	—	$74 – $264
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	$97	56%	—	$75 – $269
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$175	$175	$99	56%	2–20	$77 – $274
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$99	56%	—	$77 – $275
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$201	$201	$113	56%	2–20	$88 – $315
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$233	$233	$131	56%	—	$102 – $365
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$263	$263	$148	56%	—	$115 – $411
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	$264	$264	$149	56%	—	$115 – $412
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$316	$316	$178	56%	2–20	$138 – $495
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$344	$344	$194	56%	—	$150 – $538
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$344	$344	$194	56%	—	$150 – $538
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$364	$364	$205	56%	2–20	$159 – $569
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$364	$364	$205	56%	—	$159 – $569
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$366	$366	$207	56%	—	$160 – $573
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$366	$366	$207	56%	2–20	$160 – $573
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$389	$389	$219	56%	—	$169 – $608

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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