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
Mamm Diagnostic Unilat Rt W Cad Pf
Perryville, MO
See all hospitals reporting CPT 77065 →Price type
Mercy Perry’s median price of $145 is 12% below the median hospital's median price ($165), higher than 43% of the 2,433 hospitals reporting CPT 77065. 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 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $10 | 28% | — | $26 – $46 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $21 | 28% | — | $52 – $93 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $21 | 28% | — | $52 – $93 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $21 | 28% | — | $52 – $93 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $21 | 28% | — | $52 – $93 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $21 | 28% | — | $52 – $93 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $21 | 28% | — | $52 – $93 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $74 | $74 | $21 | 28% | 11 | $53 – $95 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $21 | 28% | — | $54 – $97 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $21 | 28% | — | $54 – $97 |
| 11 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $86 | $86 | $24 | 28% | — | $62 – $111 |
| 12 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | $28 | 28% | — | $72 – $129 |
| 13 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $32 | 28% | — | $81 – $145 |
| 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 | $113 | $113 | $32 | 28% | — | $81 – $145 |
| 15 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $136 | $136 | $38 | 28% | — | $97 – $174 |
| 16 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | $42 | 28% | — | $106 – $190 |
| 17 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | $42 | 28% | — | $106 – $190 |
| 18 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 19 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 20 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $156 | $156 | $44 | 28% | — | $112 – $200 |
| 21 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $156 | $156 | $44 | 28% | — | $112 – $200 |
| 22 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | $45 | 28% | — | $113 – $202 |
| 23 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | $45 | 28% | — | $113 – $202 |
| 24 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $167 | $167 | $47 | 28% | — | $120 – $214 |
Last updated: Mar 12, 2026
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