CT scan of pelvis with and without contrast dye 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

Cta Pelvis W/WO Cont Pf

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $443 is 7% below the median hospital's median price ($475), higher than 48% of the 2,436 hospitals reporting CPT 72191. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72191 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	$199	$199	$121	61%	—	$78 – $320
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
3	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
5	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$403	$403	$245	61%	—	$158 – $648
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$403	$403	$245	61%	—	$158 – $648
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$403	$403	$245	61%	—	$158 – $648
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$403	$403	$245	61%	—	$158 – $648
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$403	$403	$245	61%	—	$158 – $648
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$403	$403	$245	61%	—	$158 – $648
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$411	$411	$250	61%	—	$162 – $661
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$419	$419	$255	61%	—	$165 – $674
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$419	$419	$255	61%	—	$165 – $674
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$481	$481	$292	61%	—	$189 – $772
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$557	$557	$338	61%	—	$219 – $895
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$629	$629	$382	61%	—	$247 – $1.0k
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	$630	$630	$382	61%	—	$247 – $1.0k
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$756	$756	$459	61%	—	$297 – $1.2k
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$822	$822	$499	61%	—	$323 – $1.3k
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$822	$822	$499	61%	—	$323 – $1.3k
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$869	$869	$527	61%	—	$341 – $1.4k
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$869	$869	$527	61%	—	$341 – $1.4k
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$875	$875	$531	61%	—	$344 – $1.4k
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$875	$875	$531	61%	—	$344 – $1.4k
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$928	$928	$564	61%	—	$365 – $1.5k

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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