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 PYROPHOS DX 25MCI
Austin, TX
See all hospitals reporting HCPCS A9538 →Price type
St. David's Medical Center’s median price of $128 is 4% above the median hospital's median price ($123), higher than 52% of the 1,749 hospitals reporting HCPCS A9538. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 36 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $3 | 15% | — | $16 – $22 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $3 | 15% | — | $16 – $22 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $3 | 15% | — | $16 – $22 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $3 | 15% | — | $16 – $22 |
| 5 | UnitedHealthcare narrownetworkhix fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 6 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $64 | $64 | $10 | 15% | — | $54 – $74 |
| 7 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $64 | $64 | $10 | 15% | — | $54 – $74 |
| 8 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $64 | $64 | $10 | 15% | — | $54 – $74 |
| 9 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 10 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 11 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $72 | $72 | $11 | 15% | — | $61 – $83 |
| 12 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $72 | $72 | $11 | 15% | — | $61 – $83 |
| 13 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 14 | UnitedHealthcare smallgroup fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 15 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $80 | $80 | $12 | 15% | — | $68 – $93 |
| 16 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $80 | $80 | $12 | 15% | — | $68 – $93 |
| 17 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $80 | $80 | $12 | 15% | — | $68 – $93 |
| 18 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $94 | $94 | $14 | 15% | — | $79 – $108 |
| 19 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $104 | $104 | $16 | 15% | — | $89 – $120 |
| 20 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $104 | $104 | $16 | 15% | — | $89 – $120 |
| 21 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $109 | $109 | $17 | 15% | — | $93 – $126 |
| 22 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 23 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 24 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $17 | 15% | — | $96 – $130 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $120 | $120 | $18 | 15% | — | $102 – $138 |
Last updated: Sep 1, 2026
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