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
INDIUM IN-111 PENTETREOTIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 6 MILLICURIES
Spearfish, SD
See all hospitals reporting HCPCS A9572 →Price type
Monument Health Network Inc’s median price of $9.4k is 139% above the median hospital's median price ($3.9k), higher than 83% of the 1,683 hospitals reporting HCPCS A9572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 7 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 uhc mcr adv other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | UnitedHealthcare uhc - all other plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 4 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 5 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 6 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 7 | Wellmark bcbs wellmark mcr adv other · outpatient | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
Last updated: Sep 1, 2026
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