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
AMINOLEVULINIC ACID 30 MG/ML 50 ML POWDER FOR ORAL SOLN
Bartow, FL
See all hospitals reporting HCPCS C9399 →Price type
Bartow Regional Medical Center’s median price of $2.0k is 31% above the median hospital's median price ($1.6k), higher than 56% of the 1,132 hospitals reporting HCPCS C9399. 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, 29 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 | $527 | $2.0k | $2.3k | 115% | — | $0 – $6.4k |
| 2 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $858 | $3.3k | $3.7k | 115% | — | $0 – $10.5k |
| 3 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $4.3k | $4.9k | 115% | — | $0 – $13.7k |
| 4 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $4.4k | $5.1k | 115% | — | $0 – $14.2k |
| 5 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $5.1k | $5.9k | 115% | — | $0 – $16.6k |
| 6 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $5.2k | $6.0k | 115% | — | $0 – $16.7k |
| 7 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $5.4k | $6.2k | 115% | — | $0 – $17.3k |
| 8 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $5.5k | $6.3k | 115% | — | $0 – $17.6k |
| 9 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $5.9k | $6.7k | 115% | — | $0 – $18.8k |
| 10 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $5.9k | $6.8k | 115% | — | $0 – $18.9k |
| 11 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $5.9k | $6.8k | 115% | — | $0 – $19.0k |
| 12 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $6.3k | $7.2k | 115% | — | $0 – $20.1k |
| 13 | Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $6.6k | $7.6k | 115% | — | $0 – $21.1k |
| 14 | UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $8.7k | $10.0k | 115% | — | $0 – $28.0k |
| 15 | UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $8.7k | $10.0k | 115% | — | $0 – $28.0k |
| 16 | Aetna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $9.1k | $10.4k | 115% | — | $0 – $29.1k |
| 17 | Aetna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $9.1k | $10.4k | 115% | — | $0 – $29.1k |
| 18 | First Health commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $9.4k | $10.9k | 115% | — | $0 – $30.4k |
| 19 | First Health commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $9.4k | $10.9k | 115% | — | $0 – $30.4k |
| 20 | Cigna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $9.7k | $11.1k | 115% | — | $0 – $31.1k |
| 21 | Cigna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $9.7k | $11.1k | 115% | — | $0 – $31.1k |
| 22 | MultiPlan commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $10.0k | $11.5k | 115% | — | $0 – $32.2k |
| 23 | MultiPlan commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $10.0k | $11.5k | 115% | — | $0 – $32.2k |
| 24 | UnitedHealthcare indemnity facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $10.0k | $11.5k | 115% | — | $0 – $32.2k |
| 25 | UnitedHealthcare indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $10.0k | $11.5k | 115% | — | $0 – $32.2k |
Last updated: Jan 1, 2026
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