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
Port Power MRI 8fr 1-Lumen
Perryville, MO
See all hospitals reporting HCPCS C1788 →Price type
Mercy Perry’s median price of $347 is 55% below the median hospital's median price ($763), higher than 14% of the 1,695 hospitals reporting HCPCS C1788. 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, 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 | $92 | $92 | $18 | 20% | — | $73 – $110 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $187 | $186 | $37 | 20% | — | $149 – $223 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $187 | $186 | $37 | 20% | — | $149 – $223 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $187 | $186 | $37 | 20% | — | $149 – $223 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $187 | $186 | $37 | 20% | 4–40 | $149 – $223 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $187 | $186 | $37 | 20% | — | $149 – $223 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $187 | $186 | $37 | 20% | — | $149 – $223 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $190 | $190 | $37 | 20% | 4–40 | $152 – $227 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $194 | $194 | $38 | 20% | — | $155 – $231 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $194 | $194 | $38 | 20% | — | $155 – $232 |
| 11 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $40 | 20% | — | $163 – $244 |
| 12 | Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $40 | 20% | — | $163 – $244 |
| 13 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $40 | 20% | — | $163 – $244 |
| 14 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $40 | 20% | — | $163 – $244 |
| 15 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $222 | $222 | $44 | 20% | — | $177 – $265 |
| 16 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $258 | $257 | $50 | 20% | — | $205 – $307 |
| 17 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $291 | $290 | $57 | 20% | — | $232 – $347 |
| 18 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $291 | $291 | $57 | 20% | — | $232 – $348 |
| 19 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $350 | $349 | $68 | 20% | — | $279 – $417 |
| 20 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $402 | $401 | $79 | 20% | — | $320 – $479 |
| 21 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $402 | $401 | $79 | 20% | — | $320 – $479 |
| 22 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $405 | $404 | $79 | 20% | — | $323 – $483 |
| 23 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $405 | $404 | $79 | 20% | — | $323 – $483 |
| 24 | Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $442 | $441 | $86 | 20% | — | $352 – $527 |
| 25 | Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges | $457 | $456 | $89 | 20% | — | $364 – $545 |
Last updated: Mar 12, 2026
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