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 Xe 133 per 10 Ml
San Angelo, TX
See all hospitals reporting HCPCS A9558 →Price type
Shannon River Crest Hospital’s median price of $231 is 25% below the median hospital's median price ($309), higher than 32% of the 1,449 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 ppo facility · percent of total billed charges · inpatientfrom % of charges | $205 | $205 | $33 | 16% | — | $172 – $238 |
| 2 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | $33 | 16% | — | $172 – $238 |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $224 | $224 | $36 | 16% | — | $187 – $260 |
| 4 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $233 | $233 | $38 | 16% | — | $195 – $271 |
| 5 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $233 | $233 | $38 | 16% | — | $195 – $271 |
| 6 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $233 | $233 | $38 | 16% | — | $195 – $271 |
| 7 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $233 | $233 | $38 | 16% | — | $195 – $271 |
| 8 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $233 | $233 | $38 | 16% | — | $195 – $271 |
| 9 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $242 | $242 | $39 | 16% | — | $203 – $282 |
| 10 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $242 | $242 | $39 | 16% | — | $203 – $282 |
| 11 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $248 | $248 | $40 | 16% | — | $208 – $289 |
| 12 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $40 | 16% | — | $208 – $289 |
| 13 | Bcbs Tx hmo facility · fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 14 | Bcbs Tx bav facility · fee schedule · outpatient | $336 | $336 | — | — | — | $336 – $336 |
| 15 | Bcbs Tx ppo facility · fee schedule · outpatient | $336 | $336 | — | — | — | $336 – $336 |
Last updated: Dec 8, 2025
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