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
SULF COLL TC99<=20MCINFLT
Glendale, CA
See all hospitals reporting HCPCS A9541 →Price type
Dignity Community Care’s median price of $64 is 77% below the median hospital's median price ($273), higher than 4% of the 2,076 hospitals reporting HCPCS A9541. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 18 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 | Anthem medicaid|all plans fee schedule · outpatient | $53 | $53 | — | — | 2–20 | $53 – $53 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 5 | Kaiser commercial|all plans fee schedule · inpatient | $154 | $154 | $108 | 70% | — | $46 – $262 |
| 6 | Kaiser commercial|all plans fee schedule · outpatient | $154 | $154 | $108 | 70% | — | $46 – $262 |
| 7 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $165 | $165 | $116 | 70% | — | $50 – $281 |
| 8 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $165 | $165 | $116 | 70% | — | $50 – $281 |
| 9 | First Health commercial|all plans fee schedule · inpatient | $179 | $179 | $125 | 70% | — | $54 – $304 |
| 10 | First Health commercial|all plans fee schedule · outpatient | $179 | $179 | $125 | 70% | — | $54 – $304 |
| 11 | MultiPlan commercial|all plans fee schedule · inpatient | $220 | $220 | $154 | 70% | — | $66 – $374 |
| 12 | MultiPlan commercial|all plans fee schedule · outpatient | $220 | $220 | $154 | 70% | — | $66 – $374 |
| 13 | Anthem commercial|non-mcs fee schedule · outpatient | $242 | $242 | $166 | 68% | — | $76 – $408 |
| 14 | Anthem commercial|mcs fee schedule · outpatient | $245 | $245 | $162 | 66% | — | $83 – $408 |
| 15 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $246 | $246 | $163 | 66% | — | $83 – $408 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $276 | $276 | $193 | 70% | — | $83 – $468 |
| 17 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $276 | $276 | $193 | 70% | — | $83 – $468 |
| 18 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $276 | $276 | $193 | 70% | — | $83 – $468 |
Last updated: Feb 28, 2026
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