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
PYLARIFY 9 MCI IV SOSY
Summit, WI
See all hospitals reporting HCPCS A9595 →Price type
Aurora Medical Center Summit’s median price of $1.1k is 61% above the median hospital's median price ($662), higher than 74% of the 1,425 hospitals reporting HCPCS A9595. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | UnitedHealthcare charter fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 2 | UnitedHealthcare exchange fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 4 | UnitedHealthcare nexus fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 5 | Aetna hmo fee schedule · outpatient | $557 | $557 | — | — | — | $557 – $557 |
| 6 | Anthem blue priority fee schedule · outpatient | $615 | $615 | — | — | — | $615 – $615 |
| 7 | Anthem blue preferred fee schedule · outpatient | $738 | $738 | — | — | — | $738 – $738 |
| 8 | Cigna ppo-gppo fee schedule · outpatient | $888 | $888 | — | — | — | $888 – $888 |
| 9 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $1 | 0% | — | $1.1k – $1.1k |
| 10 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $1 | 0% | — | $1.1k – $1.1k |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | $1 | 0% | — | $1.3k – $1.3k |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $1 | 0% | — | $1.3k – $1.3k |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $1 | 0% | — | $1.3k – $1.3k |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
Last updated: Nov 21, 2025
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