X-ray of the urinary tract 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

Xr Retrograde W or WO Kub

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 $426 is 5% above the median hospital's median price ($406), higher than 54% of the 2,365 hospitals reporting CPT 74420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74420 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	$135	$135	$77	57%	—	$58 – $212
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	$156	57%	—	$117 – $429
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	$156	57%	—	$117 – $429
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	$156	57%	—	$117 – $429
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	$156	57%	—	$117 – $429
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	$156	57%	—	$117 – $429
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	$156	57%	—	$117 – $429
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$278	$278	$159	57%	—	$119 – $437
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$284	$284	$162	57%	—	$122 – $446
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$284	$284	$162	57%	—	$122 – $446
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$326	$326	$186	57%	—	$140 – $511
12	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$377	$377	$215	57%	—	$162 – $593
13	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$426	$426	$243	57%	—	$182 – $669
14	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$426	$426	—	—	—	$426 – $426
15	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$426	$426	—	—	—	$426 – $426
16	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$427	$427	$244	57%	—	$183 – $670
17	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$469	$469	—	—	—	$469 – $469
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$512	$512	$292	57%	—	$219 – $804
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$557	$557	$318	57%	—	$239 – $875
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$557	$557	$318	57%	—	$239 – $875
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$588	$588	$336	57%	—	$252 – $924
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$588	$588	$336	57%	—	$252 – $924
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$593	$593	$339	57%	—	$254 – $931
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$593	$593	$339	57%	—	$254 – $931
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$629	$629	$359	57%	—	$270 – $988

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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See X-ray of the urinary tract with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.