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
TC-99M EXAME AUTOL WBC DIAG PER DOSE
Columbus, OH
See all hospitals reporting HCPCS A9569 →Price type
Mount Carmel East’s median price of $2.3k is 33% above the median hospital's median price ($1.7k), higher than 64% of the 1,611 hospitals reporting HCPCS A9569. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 21 payers, 38 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 aetna medicare advantage facility · other · both | $915 | $915 | — | — | — | $915 – $915 |
| 2 | Anthem anthem bcbs medicare advantage facility · other · both | $915 | $915 | — | — | — | $915 – $915 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $934 | $934 | — | — | — | $934 – $934 |
| 4 | Medical Mutual medical mutual medicare advantage facility · other · both | $934 | $934 | — | — | — | $934 – $934 |
| 5 | Aetna aetna better health medicare advantage facility · other · both | $961 | $961 | — | — | — | $961 – $961 |
| 6 | Molina molina medicare advantage facility · other · both | $961 | $961 | — | — | — | $961 – $961 |
| 7 | Caresource caresource medicare advantage facility · other · both | $962 | $962 | — | — | — | $962 – $962 |
| 8 | Anthem anthem bcbs pathway grp hmo facility · fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Anthem anthem blue access ppo blue pref hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Carefirst anthem blue access ppo blue pref hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Excellus anthem blue access ppo blue pref hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Highmark anthem blue access ppo blue pref hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Premera anthem blue access ppo blue pref hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Regence anthem blue access ppo blue pref hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Wellmark anthem blue access ppo blue pref hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Oscar oscar facility · other · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Anthem anthem bcbs pathway hmo facility · fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 21 | Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 22 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 24 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 25 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Mar 31, 2026
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