CT lower extremity scan 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

CT Extremity Lower W/WO Cont Bi Pf

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $402 is 22% below the median hospital's median price ($515), higher than 43% of the 2,485 hospitals reporting CPT 73702. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73702 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	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
2	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
3	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$213	$218	$160	73%	—	$53 – $389
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	$431	$442	$324	73%	—	$107 – $789
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$431	$442	$324	73%	—	$107 – $789
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$431	$442	$324	73%	—	$107 – $789
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$431	$442	$324	73%	—	$107 – $789
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$431	$442	$324	73%	—	$107 – $789
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$431	$442	$324	73%	—	$107 – $789
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$440	$451	$331	73%	—	$109 – $804
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$449	$460	$337	73%	—	$111 – $821
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$449	$460	$337	73%	—	$111 – $821
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$514	$527	$387	73%	—	$127 – $941
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$596	$611	$448	73%	—	$147 – $1.1k
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$672	$690	$506	73%	—	$166 – $1.2k
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	$674	$691	$507	73%	—	$167 – $1.2k
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$809	$829	$608	73%	—	$200 – $1.5k
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$879	$902	$661	73%	—	$218 – $1.6k
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$879	$902	$661	73%	—	$218 – $1.6k
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$929	$953	$699	73%	—	$230 – $1.7k
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$929	$953	$699	73%	—	$230 – $1.7k
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$936	$960	$704	73%	—	$232 – $1.7k
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$936	$960	$704	73%	—	$232 – $1.7k
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$993	$1.0k	$747	73%	—	$246 – $1.8k

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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