Lumbar spine CT scan, without then with contrast 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

CT Lumbar Spine W/WO Cont Pf

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $312 is 34% below the median hospital's median price ($476), higher than 35% of the 2,531 hospitals reporting CPT 72133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72133 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	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
2	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
3	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
4	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$257	$257	$202	79%	—	$55 – $459
5	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$522	$522	$410	79%	—	$112 – $931
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$522	$522	$410	79%	2–20	$112 – $931
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$522	$522	$410	79%	—	$112 – $931
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$522	$522	$410	79%	—	$112 – $931
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$522	$522	$410	79%	—	$112 – $931
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$522	$522	$410	79%	—	$112 – $931
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$532	$532	$418	79%	2–20	$114 – $950
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$542	$542	$426	79%	—	$116 – $969
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$542	$542	$426	79%	—	$116 – $969
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$622	$622	$489	79%	—	$133 – $1.1k
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$720	$720	$566	79%	—	$154 – $1.3k
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$813	$813	$639	79%	—	$174 – $1.5k
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	$815	$815	$640	79%	—	$174 – $1.5k
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$978	$978	$768	79%	—	$209 – $1.7k
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$836	79%	—	$228 – $1.9k
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$836	79%	—	$228 – $1.9k
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$883	79%	—	$240 – $2.0k
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$883	79%	—	$240 – $2.0k
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$890	79%	—	$242 – $2.0k
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$890	79%	—	$242 – $2.0k
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$944	79%	—	$257 – $2.1k

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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