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 IN-111 PENTETR PER STUDY DOSE
Boulder, CO
See all hospitals reporting HCPCS A9572 →Price type
Boulder Community Health’s median price of $8.9k is 126% above the median hospital's median price ($3.9k), higher than 82% of the 1,683 hospitals reporting HCPCS A9572. 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, 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 | Aetna medicare advantage facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | Anthem medicare advantage facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Humana medicare advantage facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Kaiser medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | $10 | 0% | — | $2.0k – $2.1k |
| 6 | Devoted medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $2.9k | $2.9k | $935 | 32% | — | $2.0k – $3.9k |
| 8 | Aetna medicare advantage professional · fee schedule · both | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 9 | UnitedHealthcare commercial professional · fee schedule · both | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 10 | Cigna commercial facility · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 11 | Cigna commercial professional · fee schedule · both | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 12 | Kaiser commercial facility · case rate · outpatient | $4.4k | $4.4k | $528 | 12% | — | $3.8k – $4.9k |
| 13 | Humana medicare advantage professional · fee schedule · both | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 14 | Kaiser managed care facility · case rate · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 15 | Aetna commercial professional · fee schedule · both | $5.3k | $5.3k | $1.6k | 31% | — | $3.7k – $7.0k |
| 16 | Anthem commercial professional · fee schedule · both | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 17 | Anthem managed care professional · fee schedule · both | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 18 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.6k | $8.2k | $2.6k | 32% | — | $5.1k – $15.0k |
| 19 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $8.8k | $8.8k | $861 | 10% | — | $7.9k – $9.7k |
| 20 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $9.2k | $9.2k | $897 | 10% | — | $8.3k – $10.1k |
| 21 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.5k | $10.0k | $6.0k | 61% | — | $4.6k – $20.1k |
| 22 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $13.2k | $13.2k | $1.3k | 10% | — | $11.9k – $14.5k |
| 23 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14.8k | $14.8k | $1.5k | 10% | — | $13.4k – $16.3k |
| 24 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $15.8k | $15.8k | $1.5k | 10% | — | $14.3k – $17.4k |
| 25 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $15.8k | $15.8k | $1.5k | 10% | — | $14.3k – $17.4k |
Last updated: Sep 16, 2026
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