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.
Original text from hospital filings
Xr Sacroiliac Joints Min 3 Views
Perryville, MO
See all hospitals reporting CPT 72202 →Price type
Mercy Perry’s median price of $124 is 13% below the median hospital's median price ($143), higher than 40% of the 2,619 hospitals reporting CPT 72202. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $37 | $37 | $25 | 67% | — | $12 – $61 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $50 | 67% | — | $25 – $124 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $50 | 67% | — | $25 – $124 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $50 | 67% | — | $25 – $124 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $50 | 67% | 2–20 | $25 – $124 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $50 | 67% | — | $25 – $124 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $50 | 67% | — | $25 – $124 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | $51 | 67% | 2–20 | $25 – $127 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $77 | $77 | $52 | 67% | — | $26 – $129 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $78 | $78 | $52 | 67% | — | $26 – $129 |
| 11 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $89 | $89 | $59 | 67% | — | $29 – $148 |
| 12 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | $69 | 67% | — | $34 – $172 |
| 13 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | $78 | 67% | — | $38 – $194 |
| 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 | $116 | $116 | $78 | 67% | — | $38 – $194 |
| 15 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 16 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 17 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $140 | $140 | $93 | 67% | — | $46 – $233 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | $102 | 67% | — | $50 – $254 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | $102 | 67% | — | $50 – $254 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $160 | $160 | $107 | 67% | — | $53 – $268 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $160 | $160 | $107 | 67% | — | $53 – $268 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | $108 | 67% | — | $53 – $270 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | $108 | 67% | 2–20 | $53 – $270 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $172 | $172 | $115 | 67% | — | $57 – $286 |
Last updated: Mar 12, 2026
See X-ray of sacroiliac joints, 3 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.