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
ISO I-131 CAPSULE DX PMCI
Arlington, TX
See all hospitals reporting HCPCS A9528 →Price type
AMH Cath Labs LLC’s median price of $47 is 66% below the median hospital's median price ($140), higher than 13% of the 1,478 hospitals reporting HCPCS A9528. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 7 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 8 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 11 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 13 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 14 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 15 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 16 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 17 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 18 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 19 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 20 | Blue Cross Blue Shield hmo fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 21 | Blue Cross Blue Shield exchange fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 22 | Blue Cross Blue Shield ppo fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 23 | Blue Cross Blue Shield traditional fee schedule · outpatient | $436 | $436 | — | — | — | $436 – $436 |
Last updated: Apr 21, 2026
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