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 A9572 MED: INDIUM IN-111 PENTETREOTIDE, DX, PER STUDY DOSE, UP TO 6 MCI
Orange, TX
See all hospitals reporting HCPCS A9572 →Price type
CHRISTUS Hospital - Orange’s median price of $5.4k is 38% above the median hospital's median price ($3.9k), higher than 62% 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: 12 payers, 30 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 | UnitedHealthcare all payer fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Aetna mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Bcbs Tx mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Humana gold choice mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Molina medicare adv mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | WellCare mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Devoted mm fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 11 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 12 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 13 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 14 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 15 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 16 | Molina star km percent of total billed charges · outpatientfrom % of charges | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 17 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 18 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 19 | Humana choicecare fee schedule · outpatient | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
| 20 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $17.7k | $17.7k | — | — | — | $17.7k – $17.7k |
| 21 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $20.4k | $20.4k | — | — | — | $20.4k – $20.4k |
| 22 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $22.0k | $22.0k | — | — | — | $22.0k – $22.0k |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $27.2k | $27.2k | — | — | — | $27.2k – $27.2k |
| 24 | Bcbs Tx heb fee schedule · outpatient | $27.4k | $27.4k | — | — | — | $27.4k – $27.4k |
| 25 | Bcbs Tx hmo fee schedule · outpatient | $27.4k | $27.4k | — | — | — | $27.4k – $27.4k |
Last updated: Jan 13, 2026
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