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
IN-111 PENTETRE-DOSE
Birmingham, AL
See all hospitals reporting HCPCS A9572 →Price type
Affinity Hospital LLC’s median price of $2.1k is 46% below the median hospital's median price ($3.9k), higher than 23% of the 1,683 hospitals reporting HCPCS A9572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 17 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 | Aetna aetna all facility · per diem · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Optum optum health facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Cigna cigna all facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Humana node humana mcr adv facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Optum node united optum va ccn facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Clover node clover health mcr adv facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | First Health first health facility · other · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 12 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 13 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 17 | Bcbs Al bcbs al all facility · other · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
Last updated: Apr 1, 2026
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