SpaceMaker Plus round balloon tissue dissector 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BALLOON DISSECTION KIDNEY OMS-PDBS2

Perryville, MO

See all hospitals reporting HCPCS C1727 →

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How this price compares nationally

Mercy Perry’s median price of $415 is 43% below the median hospital's median price ($733), higher than 23% of the 979 hospitals reporting HCPCS C1727. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C1727 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	$94	$94	$1	1%	—	$93 – $95
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	$2	1%	—	$189 – $193
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	$2	1%	—	$189 – $193
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	$2	1%	—	$189 – $193
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	$2	1%	—	$189 – $193
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	$2	1%	—	$189 – $193
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	$2	1%	—	$189 – $193
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$195	$195	$2	1%	—	$193 – $197
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$199	$199	$2	1%	—	$197 – $200
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$199	$199	$2	1%	—	$197 – $201
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$228	$228	$2	1%	—	$226 – $230
12	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$264	$264	$2	1%	—	$262 – $266
13	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$298	$298	$3	1%	—	$295 – $301
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	$299	$299	$3	1%	—	$296 – $301
15	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$358	$358	$3	1%	—	$355 – $361
16	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$390	$390	$3	1%	—	$386 – $393
17	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$390	$390	$3	1%	—	$386 – $393
18	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$412	$412	$4	1%	—	$408 – $415
19	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$412	$412	$4	1%	—	$408 – $415
20	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$415	$415	$4	1%	—	$411 – $418
21	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$415	$415	$4	1%	—	$411 – $418
22	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$440	$440	$4	1%	—	$436 – $444
23	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$440	$440	$4	1%	—	$436 – $444
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$468	$468	$4	1%	—	$464 – $472
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$484	$484	$4	1%	—	$480 – $488

Page 1 of 2 · 26 rates

Last updated: Mar 12, 2026

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