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
EXAMETAZIME WBC DX/DOSE
Carmichael, CA
See all hospitals reporting HCPCS A9569 →Price type
Dignity Health’s median price of $2.1k is 19% above the median hospital's median price ($1.7k), higher than 59% of the 1,610 hospitals reporting HCPCS A9569. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 25 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 medicare|all other plans fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Humana commercial|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Humana medicare|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Kaiser medicare|all plans case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Molina medicare|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Anthem medicare|imperial fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Anthem commercial|connection epo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Anthem commercial|all other plans fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 17 | Anthem commercial|mcs fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 18 | Kaiser medicaid|all plans fee schedule · outpatient | $3.3k | $3.3k | $748 | 22% | — | $2.4k – $4.3k |
| 19 | Cigna commercial|localplus fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $4.3k | $4.4k | $985 | 22% | — | $3.2k – $5.6k |
| 21 | Cigna commercial|all other plans fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 22 | First Health commercial|all plans fee schedule · inpatient | $6.0k | $6.1k | $1.4k | 22% | — | $4.5k – $7.8k |
| 23 | First Health commercial|all plans fee schedule · outpatient | $6.0k | $6.1k | $1.4k | 22% | — | $4.5k – $7.8k |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $6.7k | $6.8k | $1.5k | 22% | — | $5.0k – $8.7k |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $6.7k | $6.8k | $1.5k | 22% | — | $5.0k – $8.7k |
Last updated: Feb 28, 2026
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