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
NM DOSE TECH 99M MAG 3 15MCI
Ulm, MN
See all hospitals reporting HCPCS A9562 →Price type
Allina Health Systems’s median price of $690 is 16% below the median hospital's median price ($820), higher than 38% of the 1,925 hospitals reporting HCPCS A9562. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 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 | $180 | $180 | $8 | 5% | — | $172 – $188 |
| 2 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $284 | $284 | $13 | 5% | — | $271 – $297 |
| 3 | Medicaid medicaid ma (n) facility · other · outpatient | $391 | $391 | $18 | 5% | — | $373 – $409 |
| 4 | Medica medica medicare (r) facility · fee schedule · outpatient | $397 | $397 | $18 | 5% | — | $379 – $415 |
| 5 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $402 | $402 | $18 | 5% | — | $384 – $421 |
| 6 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $416 | $416 | $19 | 5% | — | $397 – $435 |
| 7 | UnitedHealthcare united healthcare (nr) facility · percent of total billed charges · outpatientfrom % of charges | $447 | $447 | $20 | 5% | — | $426 – $467 |
| 8 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $548 | $548 | $25 | 5% | — | $523 – $573 |
| 9 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $553 | $553 | $25 | 5% | — | $528 – $578 |
| 10 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $592 | $592 | $27 | 5% | — | $565 – $619 |
| 11 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $597 | $597 | $27 | 5% | — | $570 – $625 |
| 12 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $626 | $626 | $29 | 5% | — | $597 – $654 |
| 13 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $715 | $715 | $33 | 5% | — | $682 – $748 |
| 14 | Cigna hpi cigna (n) facility · other · outpatient | $731 | $731 | $33 | 5% | — | $697 – $764 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $751 | $751 | $34 | 5% | — | $716 – $785 |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $751 | $751 | $34 | 5% | — | $716 – $785 |
| 17 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $751 | $751 | $34 | 5% | — | $716 – $785 |
| 18 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $756 | $756 | $35 | 5% | — | $721 – $790 |
| 19 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $764 | $764 | $35 | 5% | — | $729 – $798 |
| 20 | Bcbs Mn bc pmap (n) facility · other · outpatient | $768 | $768 | — | — | — | $768 – $768 |
| 21 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Bcbs Mn bc premier(n) facility · other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 24 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Jun 16, 2026
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