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
Jasper, TX
See all hospitals reporting HCPCS A9572 →Price type
Southeast Texas - Jasper Memorial’s median price of $2.0k is 50% below the median hospital's median price ($3.9k), higher than 12% 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: 7 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare all payer fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Aetna mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Bcbs Tx mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Humana gold choice mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Molina medicare adv mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | WellCare mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Devoted mm fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Humana choicecare fee schedule · outpatient | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
| 11 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $24.9k | $24.9k | — | — | — | $24.9k – $24.9k |
| 12 | Bcbs Tx heb fee schedule · outpatient | $27.4k | $27.4k | — | — | — | $27.4k – $27.4k |
| 13 | Bcbs Tx hmo fee schedule · outpatient | $27.4k | $27.4k | — | — | — | $27.4k – $27.4k |
| 14 | Bcbs Tx ppo fee schedule · outpatient | $31.4k | $31.4k | — | — | — | $31.4k – $31.4k |
| 15 | Bcbs Tx traditional fee schedule · outpatient | $32.3k | $32.3k | — | — | — | $32.3k – $32.3k |
Last updated: Jan 13, 2026
See Indium-111 pentetreotide diagnostic dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.