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
TC-99M SESTA / DOSE
Peru, IN
See all hospitals reporting HCPCS A9500 →Price type
Dukes Health System LLC’s median price of $347 is 26% above the median hospital's median price ($275), higher than 58% of the 2,095 hospitals reporting HCPCS A9500. 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, 26 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 | Tricare node tricare facility · fee schedule · outpatient | $145 | $145 | $2 | 1% | — | $143 – $147 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $154 | $154 | $2 | 1% | — | $152 – $156 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $154 | $154 | $2 | 1% | — | $152 – $156 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $154 | $154 | $2 | 1% | — | $152 – $156 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $157 | $157 | $2 | 1% | — | $154 – $159 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $157 | $157 | $2 | 1% | — | $154 – $159 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $157 | $157 | $2 | 1% | — | $154 – $159 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $157 | $157 | $2 | 1% | — | $155 – $159 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $157 | $157 | $2 | 1% | — | $155 – $159 |
| 10 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $235 | $235 | $3 | 1% | — | $231 – $238 |
| 11 | Anthem anthem in work comp facility · other · outpatient | $250 | $250 | $4 | 1% | — | $247 – $254 |
| 12 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $282 | $282 | $4 | 1% | — | $278 – $286 |
| 13 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $282 | $282 | $4 | 1% | — | $278 – $286 |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $282 | $282 | $4 | 1% | — | $278 – $286 |
| 15 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $282 | $282 | $4 | 1% | — | $278 – $286 |
| 16 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $332 | $332 | $5 | 1% | — | $327 – $337 |
| 17 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $372 | $372 | $5 | 1% | — | $367 – $378 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $385 | $385 | $6 | 1% | — | $379 – $391 |
| 19 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $385 | $385 | $6 | 1% | — | $379 – $391 |
| 20 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $626 | $626 | $9 | 1% | — | $617 – $635 |
| 21 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $626 | $626 | $9 | 1% | — | $617 – $635 |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $634 | $634 | $9 | 1% | — | $625 – $643 |
| 23 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $634 | $634 | $9 | 1% | — | $625 – $643 |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $634 | $634 | $9 | 1% | — | $625 – $643 |
| 25 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $634 | $634 | $9 | 1% | — | $625 – $643 |
Last updated: Apr 1, 2026
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