Retrograde cystourethrogram X-ray 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 Urethrogram/Retrograde

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $162 is 48% below the median hospital's median price ($314), higher than 11% of the 2,292 hospitals reporting CPT 74450. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74450 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	$47	$47	$33	69%	—	$15 – $80
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$66	69%	—	$30 – $162
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$66	69%	—	$30 – $162
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$66	69%	—	$30 – $162
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$66	69%	—	$30 – $162
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$66	69%	—	$30 – $162
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$66	69%	—	$30 – $162
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$98	$98	$68	69%	—	$30 – $166
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	$69	69%	—	$31 – $169
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	$69	69%	—	$31 – $169
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	$79	69%	—	$35 – $194
12	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$133	$133	$92	69%	—	$41 – $224
13	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	$104	69%	—	$46 – $253
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	$150	$150	$104	69%	—	$46 – $254
15	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$180	$180	$125	69%	—	$55 – $304
16	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$196	$196	$135	69%	—	$60 – $331
17	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$196	$196	$135	69%	—	$60 – $331
18	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	$143	69%	—	$64 – $350
19	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	$143	69%	—	$64 – $350
20	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$208	$208	$144	69%	—	$64 – $352
21	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$208	$208	$144	69%	—	$64 – $352
22	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	$153	69%	—	$68 – $374
23	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	$153	69%	—	$68 – $374
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$235	$235	$163	69%	—	$72 – $398
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$243	$243	$168	69%	—	$75 – $411

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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