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
TC99M EXAME - DOSE
Birmingham, AL
See all hospitals reporting HCPCS A9521 →Price type
Affinity Hospital LLC’s median price of $5.6k is 221% above the median hospital's median price ($1.7k), higher than 94% of the 1,737 hospitals reporting HCPCS A9521. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 18 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 | Cigna cigna all facility · fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 2 | Humana node humana mcr adv facility · fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 3 | Optum node united optum va ccn facility · fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 4 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 5 | Clover node clover health mcr adv facility · fee schedule · outpatient | $937 | $937 | — | — | — | $937 – $937 |
| 6 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $946 | $946 | — | — | — | $946 – $946 |
| 7 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 8 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 9 | Aetna aetna all facility · per diem · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | First Health first health facility · other · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | Optum optum health facility · percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 12 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 13 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 16 | First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 17 | Tricare node tricare facility · fee schedule · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 18 | Bcbs Al bcbs al all facility · other · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
Last updated: Apr 1, 2026
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