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
Mt Shasta, CA
See all hospitals reporting HCPCS A9541 →Price type
Dignity Health’s median price of $244 is 10% below the median hospital's median price ($273), higher than 42% of the 2,079 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: 8 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 medicaid|all plans fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 3 | Anthem medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 6 | Kaiser medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 8 | Anthem commercial|exchange fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 9 | Anthem commercial|all other plans fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $244 | $244 | — | — | — | $244 – $244 |
| 11 | Cigna commercial|all other plans fee schedule · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 12 | Cigna commercial|ppo fee schedule · inpatient | $244 | $244 | — | — | — | $244 – $244 |
| 13 | Cigna commercial|ppo fee schedule · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $256 | $256 | — | — | — | $256 – $256 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 16 | Aetna commercial|all other plans fee schedule · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 17 | Aetna commercial|hmo fee schedule · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 18 | Aetna commercial|ppo fee schedule · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 19 | Aetna commercial|all other plans fee schedule · inpatient | $262 | $262 | — | — | — | $262 – $262 |
| 20 | Aetna commercial|hmo fee schedule · inpatient | $262 | $262 | — | — | — | $262 – $262 |
| 21 | Aetna commercial|ppo fee schedule · inpatient | $262 | $262 | — | — | — | $262 – $262 |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $262 | $262 | — | — | — | $262 – $262 |
| 23 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $292 | $292 | — | — | — | $292 – $292 |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $292 | $292 | — | — | — | $292 – $292 |
Last updated: Feb 28, 2026
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