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 SESTA - DOSE
Longview, TX
See all hospitals reporting HCPCS A9500 →Price type
Longview Medical Center LP’s median price of $739 is 168% above the median hospital's median price ($275), higher than 87% of the 2,095 hospitals reporting HCPCS A9500. 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, 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 node aetna mcr adv facility · other · outpatient | $159 | $159 | — | — | 1–10 | $159 – $159 |
| 2 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $439 | $439 | — | — | — | $439 – $439 |
| 3 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $439 | $439 | — | — | — | $439 – $439 |
| 4 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 5 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $577 | $577 | — | — | — | $577 – $577 |
| 6 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $577 | $577 | — | — | — | $577 – $577 |
| 7 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $683 | $683 | — | — | — | $683 – $683 |
| 8 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $717 | $717 | — | — | — | $717 – $717 |
| 9 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $717 | $717 | — | — | — | $717 – $717 |
| 10 | Blue Cross Blue Shield bcbs tx blue adv facility · percent of total billed charges · outpatientfrom % of charges | $721 | $721 | — | — | — | $721 – $721 |
| 11 | Blue Cross Blue Shield bcbs tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $757 | $757 | — | — | — | $757 – $757 |
| 12 | Blue Cross Blue Shield bcbs tx ppo trad facility · percent of total billed charges · outpatientfrom % of charges | $757 | $757 | — | — | — | $757 – $757 |
| 13 | Blue Cross Blue Shield bcbs tx blue choice options facility · percent of total billed charges · outpatientfrom % of charges | $775 | $775 | — | — | — | $775 – $775 |
| 14 | Cigna cigna all facility · other · outpatient | $893 | $893 | — | — | — | $893 – $893 |
| 15 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Aetna aetna auto facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Aetna aetna auto facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Apr 1, 2026
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