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
HC TC-99 04 PERTECHENATE/MCI
Boulder, CO
See all hospitals reporting HCPCS A9512 →Price type
Boulder Community Health’s median price of $100 is 568% above the median hospital's median price ($15), higher than 86% of the 1,884 hospitals reporting HCPCS A9512. 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, 22 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 | Anthem commercial professional · fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Anthem managed care professional · fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 4 | UnitedHealthcare commercial professional · fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Cigna commercial facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Cigna commercial professional · fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Humana medicare advantage professional · fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Aetna commercial professional · fee schedule · both | $2 | $2 | $1 | 31% | — | $2 – $3 |
| 10 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $52 | $58 | $21 | 37% | — | $32 – $116 |
| 11 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $62 | $62 | $13 | 20% | — | $50 – $75 |
| 12 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $65 | $65 | $13 | 20% | — | $52 – $78 |
| 13 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $65 | $65 | $13 | 20% | — | $52 – $78 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $49 | $71 | $45 | 64% | — | $28 – $156 |
| 15 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $93 | $93 | $19 | 20% | — | $74 – $112 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | $21 | 20% | — | $84 – $126 |
| 17 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $112 | $112 | $23 | 20% | — | $89 – $135 |
| 18 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $112 | $112 | $23 | 20% | — | $89 – $135 |
| 19 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $23 | 20% | — | $90 – $137 |
| 20 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $23 | 20% | — | $90 – $137 |
| 21 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $130 | $130 | $26 | 20% | — | $103 – $156 |
| 22 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $141 | $141 | $29 | 20% | — | $112 – $170 |
Last updated: Sep 16, 2026
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