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
CHOLINE C 11,DIAG,PER DOSE
Teaneck, NJ
See all hospitals reporting HCPCS A9515 →Price type
Holy Name’s median price of $5.4k is 52% above the median hospital's median price ($3.5k), higher than 72% of the 1,000 hospitals reporting HCPCS A9515. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Aetna hmo/pos facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna qualified health plans facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Aetna medicare prime facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 4 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Aetna golden medicare facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 7 | Clover clover facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | WellCare medicare facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 12 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 13 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 14 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 15 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 16 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 17 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 18 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 19 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 20 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
Last updated: Nov 10, 2025
See Choline C-11 imaging agent, per dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.