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
TC99M SESTA - DOSE
LaFollette, TN
See all hospitals reporting HCPCS A9500 →Price type
Campbell County HMA, LLC’s median price of $571 is 108% above the median hospital's median price ($275), higher than 80% of the 2,095 hospitals reporting HCPCS A9500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 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 | Blue Cross Blue Shield bluecare bh facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Blue Cross Blue Shield bcbs tn net s facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Blue Cross Blue Shield bcbs tn net p facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 4 | Humana humana ky mcd facility · percent of total billed charges · outpatientfrom % of charges | $503 | $503 | — | — | — | $503 – $503 |
| 5 | Aetna aetna better health mcd ky facility · percent of total billed charges · outpatientfrom % of charges | $571 | $571 | — | — | — | $571 – $571 |
| 6 | UnitedHealthcare uhc ky mcd facility · percent of total billed charges · outpatientfrom % of charges | $571 | $571 | — | — | — | $571 – $571 |
| 7 | WellCare wellcare ky mcd facility · percent of total billed charges · outpatientfrom % of charges | $571 | $571 | — | — | — | $571 – $571 |
| 8 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
Last updated: Apr 1, 2026
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