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
Cta Abd Aorta Bi Iliofem W/WO Pf
Perryville, MO
See all hospitals reporting CPT 75635 →Price type
Mercy Perry’s median price of $596 is 12% above the median hospital's median price ($531), higher than 53% of the 2,602 hospitals reporting CPT 75635. 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 | 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 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 4 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $356 | $356 | $251 | 70% | — | $105 – $607 |
| 5 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $722 | $722 | $509 | 70% | 2–20 | $213 – $1.2k |
| 6 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $722 | $722 | $509 | 70% | 2–20 | $213 – $1.2k |
| 7 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $722 | $722 | $509 | 70% | — | $213 – $1.2k |
| 8 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $722 | $722 | $509 | 70% | 2–20 | $213 – $1.2k |
| 9 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $722 | $722 | $509 | 70% | — | $213 – $1.2k |
| 10 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $722 | $722 | $509 | 70% | — | $213 – $1.2k |
| 11 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $736 | $736 | $519 | 70% | 2–20 | $217 – $1.3k |
| 12 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $751 | $751 | $529 | 70% | 2–20 | $222 – $1.3k |
| 13 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $751 | $751 | $529 | 70% | — | $222 – $1.3k |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $861 | $861 | $607 | 70% | — | $254 – $1.5k |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $998 | $998 | $703 | 70% | — | $294 – $1.7k |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $793 | 70% | — | $332 – $1.9k |
| 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 | $1.1k | $1.1k | $795 | 70% | — | $333 – $1.9k |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $954 | 70% | — | $400 – $2.3k |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.0k | 70% | — | $435 – $2.5k |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.0k | 70% | — | $435 – $2.5k |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $1.1k | 70% | — | $459 – $2.7k |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $1.1k | 70% | — | $459 – $2.7k |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $1.1k | 70% | — | $463 – $2.7k |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $1.1k | 70% | 2–20 | $463 – $2.7k |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $1.2k | 70% | — | $491 – $2.8k |
Last updated: Mar 12, 2026
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