CT upper extremity scan with 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

CT Extremity Upper W Cont Bi Pf

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $426 is 30% below the median hospital's median price ($608), higher than 30% of the 2,587 hospitals reporting CPT 73201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73201 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	$193	$191	$135	71%	—	$50 – $343
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$391	$387	$274	71%	—	$101 – $696
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$391	$387	$274	71%	—	$101 – $696
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$391	$387	$274	71%	—	$101 – $696
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$391	$387	$274	71%	—	$101 – $696
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$391	$387	$274	71%	—	$101 – $696
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$391	$387	$274	71%	—	$101 – $696
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$399	$395	$280	71%	—	$103 – $709
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$407	$403	$285	71%	—	$105 – $723
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$407	$403	$285	71%	—	$105 – $724
11	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$426	$426	—	—	—	$426 – $426
12	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$426	$426	—	—	—	$426 – $426
13	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$467	$462	$327	71%	—	$121 – $829
14	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$469	$469	—	—	—	$469 – $469
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$541	$535	$379	71%	—	$140 – $961
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$610	$604	$428	71%	—	$158 – $1.1k
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	$611	$605	$429	71%	—	$158 – $1.1k
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$734	$726	$514	71%	—	$190 – $1.3k
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$798	$790	$560	71%	—	$206 – $1.4k
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$798	$790	$560	71%	—	$206 – $1.4k
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$843	$835	$591	71%	—	$218 – $1.5k
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$843	$835	$591	71%	—	$218 – $1.5k
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$849	$841	$596	71%	—	$220 – $1.5k
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$849	$841	$596	71%	—	$220 – $1.5k
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$901	$892	$632	71%	—	$233 – $1.6k

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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