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
Phoenix, AZ
See all hospitals reporting HCPCS A9541 →Price type
Dignity Health’s median price of $181 is 34% below the median hospital's median price ($273), higher than 26% of the 2,096 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, 16 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 commercial|dignityhealthemployee fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Aetna commercial|all plans fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 3 | Optum commercial|optumhealth fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 4 | Cigna commercial|lifesource fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 5 | First Health commercial|all plans fee schedule · inpatient | $170 | $170 | — | — | — | $170 – $170 |
| 6 | First Health commercial|all plans fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 7 | MultiPlan commercial|all plans fee schedule · inpatient | $192 | $192 | — | — | — | $192 – $192 |
| 8 | MultiPlan commercial|all plans fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 9 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $243 | $243 | — | — | 24 | $243 – $243 |
| 10 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $243 | $243 | — | — | 1–10 | $243 – $243 |
| 11 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 12 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 13 | Cigna commercial|all other plans fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 14 | Cigna commercial|localplus surefit fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 15 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 16 | Cigna commercial|exchange fee schedule · outpatient | $338 | $338 | — | — | — | $338 – $338 |
Last updated: Feb 28, 2026
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