Pelvis X-ray 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 Pelvis 1 or 2 Views Pf

Perryville, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Perry’s median price of $97 is 28% below the median hospital's median price ($134), higher than 19% of the 2,718 hospitals reporting CPT 72170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72170 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	$32	$32	$16	50%	—	$16 – $48
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$32	50%	2–20	$32 – $97
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$32	50%	2–20	$32 – $97
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$32	50%	—	$32 – $97
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$32	50%	31	$32 – $97
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$32	50%	—	$32 – $97
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$32	50%	—	$32 – $97
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$66	$66	$33	50%	11	$33 – $99
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	$34	50%	2–20	$34 – $101
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	$34	50%	—	$34 – $101
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	$39	50%	—	$38 – $116
12	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	$45	50%	—	$45 – $134
13	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	$50	50%	—	$50 – $151
14	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	$51	50%	—	$50 – $152
15	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$121	$121	$61	50%	—	$60 – $182
16	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
17	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
18	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$132	$132	$66	50%	—	$66 – $198
19	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$132	$132	$66	50%	—	$66 – $198
20	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	$70	50%	—	$69 – $209
21	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	$70	50%	—	$69 – $209
22	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	$70	50%	—	$70 – $211
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	$70	50%	2–20	$70 – $211
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	$75	50%	—	$74 – $223

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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