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-99EXAMETLABELAUTOWBCDX DOSE
Schenectady, NY
See all hospitals reporting HCPCS A9569 →Price type
Ellis Hospital’s median price of $3.6k is 110% above the median hospital's median price ($1.7k), higher than 85% of the 1,607 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: 5 payers, 7 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 | Medicare medicare facility · fee schedule · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 2 | Blue Cross Blue Shield blue shield senior facility · fee schedule · outpatient | $981 | $981 | — | — | — | $981 – $981 |
| 3 | UnitedHealthcare united healthcare facility · percent of total billed charges · inpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 4 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 5 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 6 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 7 | Tricare tricare facility · fee schedule · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
Last updated: Jun 25, 2026
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