Diagnostic radiopharmaceutical, not otherwise classified 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

NM Tc-99m

Perryville, MO

See all hospitals reporting HCPCS A4641 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Perry’s median price of $240 is 33% below the median hospital's median price ($357), higher than 40% of the 578 hospitals reporting HCPCS A4641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4641 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	$55	$55	—	—	—	$55 – $55
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
11	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
12	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
13	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
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	$174	$174	—	—	—	$174 – $174
18	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$228	$228	—	—	—	$228 – $228
19	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$228	$228	—	—	—	$228 – $228
20	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$240	$240	—	—	—	$240 – $240
21	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$240	$240	—	—	—	$240 – $240
22	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
23	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	—	—	—	$273 – $273
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$283	$283	—	—	—	$283 – $283

Page 1 of 2 · 26 rates

Last updated: Mar 12, 2026

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