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 ULTRATAG/DOSE UP TO 30 MCI
Boulder, CO
See all hospitals reporting HCPCS A9560 →Price type
Boulder Community Health’s median price of $467 is 78% above the median hospital's median price ($263), higher than 77% of the 1,935 hospitals reporting HCPCS A9560. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 | Aetna medicare advantage professional · fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 2 | Aetna ppo professional · fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 3 | Cigna commercial facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Cigna commercial professional · fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 5 | UnitedHealthcare commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 7 | Anthem commercial professional · fee schedule · both | $110 | $110 | — | — | — | $110 – $110 |
| 8 | Anthem managed care professional · fee schedule · both | $110 | $110 | — | — | — | $110 – $110 |
| 9 | Humana medicare advantage professional · fee schedule · both | $112 | $112 | — | — | — | $112 – $112 |
| 10 | Aetna commercial professional · fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 11 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $204 | $227 | $75 | 33% | — | $131 – $423 |
| 12 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $258 | $245 | $30 | 12% | — | $204 – $273 |
| 13 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $269 | $255 | $31 | 12% | — | $212 – $284 |
| 14 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $269 | $255 | $31 | 12% | — | $212 – $284 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $192 | $277 | $170 | 61% | — | $117 – $568 |
| 16 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $387 | $367 | $44 | 12% | — | $306 – $409 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $435 | $412 | $50 | 12% | — | $344 – $459 |
| 18 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $464 | $441 | $53 | 12% | — | $367 – $490 |
| 19 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $464 | $441 | $53 | 12% | — | $367 – $490 |
| 20 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $470 | $446 | $54 | 12% | — | $372 – $497 |
| 21 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $470 | $446 | $54 | 12% | — | $372 – $497 |
| 22 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $538 | $510 | $62 | 12% | — | $425 – $568 |
| 23 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $585 | $555 | $67 | 12% | — | $462 – $618 |
| 24 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $568 | $568 | — | — | — | $568 – $568 |
| 25 | MultiPlan commercial professional · percent of total billed charges · bothfrom % of charges | $639 | $639 | — | — | — | $639 – $639 |
Last updated: Sep 16, 2026
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