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
HC NM-TC99TETROFOSMN-PER STUDY DOS
Lancaster, PA
See all hospitals reporting HCPCS A9502 →Price type
Lancaster General Health’s median price of $274 is 30% above the median hospital's median price ($211), higher than 63% of the 1,695 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 2 | Aetna aetna medicare advantage facility · other · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 3 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 4 | Cigna cigna new business facility · fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 5 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 6 | Devoted devoted health medicare advantage facility · other · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 7 | Highmark highmark chip facility · other · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 8 | Oscar oscar health plan facility · other · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 9 | UnitedHealthcare united healthcare commercial facility · fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 10 | Highmark highmark aca facility · other · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 11 | Highmark highmark commercial preferred facility · other · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 12 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 13 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 14 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 15 | Highmark highmark commercial facility · other · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 16 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 17 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $280 | $280 | — | — | — | $280 – $280 |
| 18 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $280 | $280 | — | — | — | $280 – $280 |
| 19 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 20 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 21 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 22 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 23 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 24 | Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 25 | Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
Last updated: Mar 31, 2026
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