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 PENTETATE =< 25 MCI
Hialeah, FL
See all hospitals reporting HCPCS A9539 →Price type
Hsa Pgh Llc’s median price of $177 is 48% above the median hospital's median price ($120), higher than 63% of the 1,773 hospitals reporting HCPCS A9539. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Humana humana commercial hmo facility · other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 3 | Humana humana commercial ppo facility · other · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 5 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 6 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 7 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 8 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 9 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 10 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 11 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
Last updated: Sep 1, 2026
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