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
TC99M EXAMETAZIME =< 25 MCI
Hialeah, FL
See all hospitals reporting HCPCS A9521 →Price type
Hsa Pgh Llc’s median price of $1.4k is 21% below the median hospital's median price ($1.7k), higher than 37% of the 1,726 hospitals reporting HCPCS A9521. 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, 22 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $357 | $357 | — | — | — | $357 – $357 |
| 2 | Cigna cigna individual family facility · fee schedule · outpatient | $562 | $562 | — | — | — | $562 – $562 |
| 3 | Cigna cigna surefit facility · fee schedule · outpatient | $690 | $690 | — | — | — | $690 – $690 |
| 4 | Cigna cigna commercial facility · fee schedule · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 5 | Cigna cigna localplus benefit facility · fee schedule · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 6 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 7 | UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 8 | UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 9 | UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 10 | Devoted devoted health facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Molina molina medicare advantage program facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Humana humana commercial hmo facility · other · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | Humana humana commercial ppo facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 18 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 19 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 21 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 22 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
Last updated: Sep 1, 2026
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