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<=20MCI FLT
Carmichael, CA
See all hospitals reporting HCPCS A9541 →Price type
Dignity Health’s median price of $97 is 64% below the median hospital's median price ($273), higher than 9% 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, 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $80 | $80 | — | — | 2–20 | $80 – $80 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $81 | $81 | — | — | 2–20 | $81 – $81 |
| 5 | Anthem commercial|connection epo fee schedule · outpatient | $84 | $84 | $0 | 0% | — | $84 – $84 |
| 6 | Kaiser medicaid|all plans fee schedule · outpatient | $96 | $96 | $50 | 52% | — | $46 – $146 |
| 7 | Anthem commercial|all other plans fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 8 | Kaiser commercial|all plans fee schedule · outpatient | $127 | $127 | $66 | 52% | — | $61 – $193 |
| 9 | Anthem commercial|mcs fee schedule · outpatient | $130 | $130 | $17 | 13% | — | $113 – $147 |
| 10 | First Health commercial|all plans fee schedule · inpatient | $176 | $176 | $92 | 52% | — | $85 – $268 |
| 11 | First Health commercial|all plans fee schedule · outpatient | $176 | $176 | $92 | 52% | — | $85 – $268 |
| 12 | MultiPlan commercial|all plans fee schedule · inpatient | $195 | $195 | $101 | 52% | — | $94 – $296 |
| 13 | MultiPlan commercial|all plans fee schedule · outpatient | $195 | $195 | $101 | 52% | — | $94 – $296 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $235 | $235 | $122 | 52% | — | $113 – $357 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $235 | $235 | $122 | 52% | — | $113 – $357 |
| 16 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $235 | $235 | $122 | 52% | — | $113 – $357 |
| 17 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $235 | $235 | $122 | 52% | — | $113 – $357 |
| 18 | Cigna commercial|localplus fee schedule · outpatient | $634 | $634 | — | — | — | $634 – $634 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $846 | $846 | — | — | — | $846 – $846 |
Last updated: Feb 28, 2026
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