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 TC99M SULF COLL PD 20MCI N
Arlington, TX
See all hospitals reporting HCPCS A9541 →Price type
AMH Cath Labs LLC’s median price of $121 is 56% below the median hospital's median price ($273), higher than 14% of the 2,079 hospitals reporting HCPCS A9541. 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 | $32 | $32 | $19 | 60% | — | $13 – $51 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $32 | $32 | $19 | 60% | — | $13 – $51 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $34 | $34 | $20 | 60% | — | $14 – $54 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $35 | $35 | $21 | 60% | — | $14 – $56 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $35 | $35 | $21 | 60% | — | $14 – $57 |
| 6 | Blue Cross Blue Shield hmo fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 7 | Blue Cross Blue Shield exchange fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 8 | Blue Cross Blue Shield ppo fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 9 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $151 | $151 | $90 | 60% | — | $60 – $241 |
| 10 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $187 | $187 | $112 | 60% | — | $75 – $299 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $198 | $198 | $119 | 60% | — | $79 – $317 |
| 12 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $200 | $200 | $120 | 60% | — | $80 – $320 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $201 | $201 | $121 | 60% | — | $80 – $321 |
| 14 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $251 | $251 | $151 | 60% | — | $100 – $402 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $252 | $252 | $151 | 60% | — | $101 – $403 |
| 16 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $253 | $253 | $152 | 60% | — | $101 – $406 |
| 17 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $253 | $253 | $152 | 60% | — | $101 – $406 |
| 18 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $269 | $269 | $162 | 60% | — | $108 – $431 |
| 19 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $315 | $315 | $189 | 60% | — | $126 – $503 |
| 20 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $315 | $315 | $189 | 60% | — | $126 – $503 |
| 21 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $340 | $340 | $204 | 60% | — | $136 – $544 |
| 22 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $340 | $340 | $204 | 60% | — | $136 – $544 |
| 23 | Blue Cross Blue Shield traditional fee schedule · outpatient | $496 | $496 | — | — | — | $496 – $496 |
Last updated: Apr 21, 2026
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