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
POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION
Macon, GA
See all hospitals reporting HCPCS C9399 →Price type
Central Georgia Rehabilitation LLC’s median price of $10.8k is 591% above the median hospital's median price ($1.6k), higher than 92% 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: 9 payers, 19 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 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $6.0k | $7.3k | $7.1k | 97% | — | $87 – $20.8k |
| 2 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $8.0k | $9.8k | $9.5k | 97% | — | $117 – $27.8k |
| 3 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $8.7k | $10.7k | $10.3k | 97% | — | $127 – $30.4k |
| 4 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $9.5k | $11.6k | $11.2k | 97% | — | $139 – $33.1k |
| 5 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $10.1k | $12.5k | $12.0k | 97% | — | $149 – $35.4k |
| 6 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $11.7k | $14.4k | $13.9k | 97% | — | $172 – $40.9k |
| 7 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $11.7k | $14.4k | $13.9k | 97% | — | $172 – $41.0k |
| 8 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $12.9k | $15.9k | $15.3k | 97% | — | $189 – $45.1k |
| 9 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $12.9k | $15.9k | $15.3k | 97% | — | $189 – $45.1k |
| 10 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $12.9k | $15.9k | $15.3k | 97% | — | $189 – $45.1k |
| 11 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $12.9k | $15.9k | $15.3k | 97% | — | $189 – $45.1k |
| 12 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $12.9k | $15.9k | $15.3k | 97% | — | $189 – $45.1k |
| 13 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $13.1k | $16.1k | $15.5k | 97% | — | $192 – $45.7k |
| 14 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $13.6k | $16.8k | $16.2k | 97% | — | $200 – $47.7k |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $13.7k | $16.8k | $16.3k | 97% | — | $201 – $47.9k |
| 16 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $15.9k | $19.5k | $18.9k | 97% | — | $233 – $55.5k |
| 17 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $15.9k | $19.5k | $18.9k | 97% | — | $233 – $55.5k |
| 18 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $18.5k | $22.7k | $22.0k | 97% | — | $271 – $64.6k |
| 19 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $18.5k | $22.7k | $22.0k | 97% | — | $271 – $64.6k |
Last updated: Nov 19, 2025
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