3D rendering of CT, MRI, or ultrasound imaging 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

MR 3d Recon W/O Indep Workstation Pf

Perryville, MO

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Perry’s median price of $80 is 64% below the median hospital's median price ($220), higher than 31% of the 2,158 hospitals reporting CPT 76376. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76376 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 26 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	$54	$54	$45	83%	—	$9 – $100
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	$92	83%	—	$18 – $202
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	$92	83%	—	$18 – $202
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	$92	83%	—	$18 – $202
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	$92	83%	—	$18 – $202
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	$92	83%	—	$18 – $202
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	$92	83%	—	$18 – $202
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	$94	83%	—	$19 – $206
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	$96	83%	—	$19 – $210
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$115	$115	$96	83%	—	$19 – $210
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$131	$131	$109	83%	—	$22 – $241
12	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	$127	83%	—	$25 – $279
13	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	$143	83%	—	$28 – $315
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	$172	$172	$143	83%	—	$29 – $315
15	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	$172	83%	—	$34 – $378
16	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$224	$224	$187	83%	—	$37 – $412
17	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$224	$224	$187	83%	—	$37 – $412
18	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$237	$237	$198	83%	—	$39 – $435
19	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$237	$237	$198	83%	—	$39 – $435
20	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	$199	83%	—	$40 – $438
21	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	$199	83%	—	$40 – $438
22	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$253	$253	$211	83%	—	$42 – $465
23	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$253	$253	$211	83%	—	$42 – $465
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$270	$270	$225	83%	—	$45 – $495
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$279	$279	$233	83%	—	$46 – $511

Page 1 of 2 · 26 rates

Last updated: Mar 12, 2026

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