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
HCHG CLARISCAN 15ML VIAL PER 0.1 ML
River Falls, WI
See all hospitals reporting HCPCS A9575 →Price type
Allina Health Systems’s median price of $0 is 41% below the median hospital's median price ($0), higher than 40% of the 1,486 hospitals reporting HCPCS A9575. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $0.10 | $0.10 | $0.10 – $0.10 |
| 2 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 3 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $0.13 | $0.13 | $0.13 – $0.13 |
| 4 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 5 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 6 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $0.18 | $0.18 | $0.18 – $0.18 |
| 7 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $0.23 | $0.23 | $0.23 – $0.23 |
| 8 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $0.23 | $0.23 | $0.23 – $0.23 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $0.23 | $0.23 | $0.23 – $0.23 |
| 10 | UnitedHealthcare united healthcare (nr) facility · percent of total billed charges · outpatientfrom % of charges | $0.25 | $0.25 | $0.25 – $0.25 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $0.31 | $0.31 | $0.31 – $0.31 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $0.31 | $0.31 | $0.31 – $0.31 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $0.33 | $0.33 | $0.33 – $0.33 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $0.33 | $0.33 | $0.33 – $0.33 |
| 15 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $0.42 | $0.42 | $0.42 – $0.42 |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $0.42 | $0.42 | $0.42 – $0.42 |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $0.42 | $0.42 | $0.42 – $0.42 |
| 18 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $0.43 | $0.43 | $0.43 – $0.43 |
Last updated: Jun 15, 2026
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