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 Sacrum and Coccyx Min 2 Views
Perryville, MO
See all hospitals reporting CPT 72220 →Price type
Mercy Perry’s median price of $105 is 11% below the median hospital's median price ($118), higher than 41% of the 2,687 hospitals reporting CPT 72220. 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 | $21 | 57% | — | $16 – $59 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | $43 | 57% | 2–20 | $32 – $119 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | $43 | 57% | — | $32 – $119 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | $43 | 57% | — | $32 – $119 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | $43 | 57% | 11 | $32 – $119 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | $43 | 57% | — | $32 – $119 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | $43 | 57% | — | $32 – $119 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $77 | $77 | $44 | 57% | 2–20 | $33 – $122 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $79 | $79 | $45 | 57% | 2–20 | $34 – $124 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $79 | $79 | $45 | 57% | — | $34 – $124 |
| 11 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $90 | $90 | $52 | 57% | 2–20 | $38 – $142 |
| 12 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | $60 | 57% | — | $45 – $165 |
| 13 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 14 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 15 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | $68 | 57% | — | $50 – $186 |
| 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 | $118 | $118 | $68 | 57% | — | $50 – $186 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $142 | $142 | $82 | 57% | — | $60 – $223 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $154 | $154 | $89 | 57% | — | $66 – $243 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $154 | $154 | $89 | 57% | — | $66 – $243 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $163 | $163 | $94 | 57% | — | $69 – $257 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $163 | $163 | $94 | 57% | — | $69 – $257 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | $94 | 57% | — | $70 – $259 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | $94 | 57% | 2–20 | $70 – $259 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $100 | 57% | — | $74 – $274 |
Last updated: Mar 12, 2026
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