Sacroiliac joint 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 Sacroiliac Jnts < 3 Views

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 $99 is 23% below the median hospital's median price ($129), higher than 23% of the 2,216 hospitals reporting CPT 72200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72200 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	$21	$21	—	—	—	$21 – $21
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	2–20	$43 – $43
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	2–20	$43 – $43
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
12	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
13	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
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	$67	$67	—	—	—	$67 – $67
15	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
16	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
17	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
18	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
19	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
20	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
21	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
22	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$99	$99	—	—	—	$99 – $99
23	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$99	$99	—	—	—	$99 – $99
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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