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 IBRITUMOMAB TIUXETAN, DIAGNOSTIC, PER STUDY DOSE, UP TO 5 MILLICURIES
Helena, CA
See all hospitals reporting HCPCS A9542 →Price type
St Helena Hospital’s median price of $6.3k is 81% above the median hospital's median price ($3.5k), higher than 69% of the 1,177 hospitals reporting HCPCS A9542. 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 | Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | $761 | 19% | — | $3.1k – $4.7k |
| 2 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | $785 | 19% | — | $3.2k – $4.8k |
| 3 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | $796 | 19% | — | $3.3k – $4.9k |
| 4 | Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | $930 | 19% | — | $3.8k – $5.7k |
| 5 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 6 | Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 7 | UnitedHealthcare umr uhc ppo fee schedule · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 8 | Cigna cigna-all other plans percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | $1.4k | 19% | — | $5.6k – $8.3k |
| 9 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | $1.4k | 19% | — | $5.7k – $8.5k |
| 10 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 11 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 12 | UnitedHealthcare uhc jll fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 13 | UnitedHealthcare uhc options ppo fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 14 | UnitedHealthcare uhc select/select plus fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 15 | Aetna aetna-all plans fee schedule · outpatient | $21.1k | $21.1k | — | — | — | $21.1k – $21.1k |
Last updated: Jul 15, 2026
See Diagnostic indium-111 ibritumomab tiuxetan imaging dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.