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 TC99MTETROFOSMIN DOSE<41MCI
Bartow, FL
See all hospitals reporting HCPCS A9502 →Price type
Bartow Regional Medical Center’s median price of $590 is 179% above the median hospital's median price ($211), higher than 91% of the 1,702 hospitals reporting HCPCS A9502. 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, 31 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 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 2 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 3 | Cigna commercial hmo facility · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 4 | Cigna commercial ppo facility · fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 5 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $324 | $324 | — | — | — | $324 – $324 |
| 6 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $334 | $334 | — | — | — | $334 – $334 |
| 7 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $390 | $390 | — | — | — | $390 – $390 |
| 8 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $395 | $395 | — | — | — | $395 – $395 |
| 9 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 10 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 11 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $444 | $444 | — | — | — | $444 – $444 |
| 12 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $446 | $446 | — | — | — | $446 – $446 |
| 13 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $448 | $448 | — | — | — | $448 – $448 |
| 14 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 15 | Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges | $498 | $498 | — | — | — | $498 – $498 |
| 16 | UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $660 | $660 | — | — | — | $660 – $660 |
| 17 | UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $660 | $660 | — | — | — | $660 – $660 |
| 18 | Aetna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $687 | $687 | — | — | — | $687 – $687 |
| 19 | Aetna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $687 | $687 | — | — | — | $687 – $687 |
| 20 | First Health commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $717 | $717 | — | — | — | $717 – $717 |
| 21 | First Health commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $717 | $717 | — | — | — | $717 – $717 |
| 22 | Cigna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $733 | $733 | — | — | — | $733 – $733 |
| 23 | Cigna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $733 | $733 | — | — | — | $733 – $733 |
| 24 | MultiPlan commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $759 | $759 | — | — | — | $759 – $759 |
| 25 | MultiPlan commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $759 | $759 | — | — | — | $759 – $759 |
Last updated: Jan 1, 2026
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