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 CAPROMAB PENDETIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 10 MILLICURIES
Helena, CA
See all hospitals reporting HCPCS A9507 →Price type
St Helena Hospital’s median price of $4.7k is 65% above the median hospital's median price ($2.9k), higher than 71% of the 1,138 hospitals reporting HCPCS A9507. 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, 20 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 | Blue Cross Blue Shield blue shield bh mcr adv other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Blue Cross Blue Shield tricare blue shield other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Kaiser kaiser mcr adv other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | UnitedHealthcare uhc mcr adv other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | UnitedHealthcare umr uhc ppo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 8 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 9 | UnitedHealthcare uhc jll fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | UnitedHealthcare uhc options ppo fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 11 | UnitedHealthcare uhc select/select plus fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 12 | Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 13 | Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | $944 | 19% | — | $3.9k – $5.8k |
| 14 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | $973 | 19% | — | $4.0k – $6.0k |
| 15 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $5.1k | $5.1k | $988 | 19% | — | $4.1k – $6.1k |
| 16 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 17 | Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | $1.2k | 19% | — | $4.8k – $7.1k |
| 18 | Cigna cigna-all other plans percent of total billed charges · outpatientfrom % of charges | $8.6k | $8.6k | $1.7k | 19% | — | $6.9k – $10.3k |
| 19 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $8.8k | $8.8k | $1.7k | 19% | — | $7.1k – $10.6k |
| 20 | Aetna aetna-all plans fee schedule · outpatient | $26.5k | $26.5k | — | — | — | $26.5k – $26.5k |
Last updated: Jul 15, 2026
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