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
CLARISCAN PER 1 ML/ 10 ML VL
Doylestown, PA
See all hospitals reporting HCPCS A9575 →Price type
Doylestown Hospital’s median price of $40 is 8321% above the median hospital's median price ($0), higher than 74% of the 1,486 hospitals reporting HCPCS A9575. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 4 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 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $7.60 | $7.60 | $7.60 – $7.60 |
| 2 | Blue Cross Blue Shield other blue cross facility · percent of total billed charges · inpatientfrom % of charges | $10.80 | $10.80 | $10.80 – $10.80 |
| 3 | Blue Cross Blue Shield other blue cross facility · percent of total billed charges · outpatientfrom % of charges | $10.80 | $10.80 | $10.80 – $10.80 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $40.00 | $40.00 | $40.00 – $40.00 |
Last updated: Aug 27, 2026
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