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
TC-99M SESTA / DOSE
Wayne, IN
See all hospitals reporting HCPCS A9500 →Price type
St. Joseph Health System, LLC’s median price of $640 is 132% above the median hospital's median price ($275), higher than 83% of the 2,095 hospitals reporting HCPCS A9500. 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, 21 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $300 | $342 | $84 | 24% | — | $267 – $459 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $300 | $342 | $84 | 24% | — | $267 – $459 |
| 3 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $337 | $384 | $94 | 24% | — | $300 – $515 |
| 4 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $337 | $384 | $94 | 24% | — | $300 – $515 |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $337 | $384 | $94 | 24% | — | $300 – $515 |
| 6 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $427 | $487 | $119 | 24% | — | $380 – $653 |
| 7 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $427 | $487 | $119 | 24% | — | $380 – $653 |
| 8 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $632 | $720 | $176 | 24% | — | $562 – $966 |
| 9 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $632 | $720 | $176 | 24% | — | $562 – $966 |
| 10 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $641 | $730 | $179 | 24% | — | $570 – $980 |
| 11 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $641 | $730 | $179 | 24% | — | $570 – $980 |
| 12 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $697 | $794 | $194 | 24% | — | $620 – $1.1k |
| 13 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $697 | $794 | $194 | 24% | — | $620 – $1.1k |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $725 | $826 | $202 | 24% | — | $644 – $1.1k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $725 | $826 | $202 | 24% | — | $644 – $1.1k |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $743 | $847 | $207 | 24% | — | $661 – $1.1k |
| 17 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $743 | $847 | $207 | 24% | — | $661 – $1.1k |
| 18 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $929 | $1.1k | $259 | 24% | — | $826 – $1.4k |
| 19 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $929 | $1.1k | $259 | 24% | — | $826 – $1.4k |
| 20 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $929 | $1.1k | $259 | 24% | — | $826 – $1.4k |
| 21 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $929 | $1.1k | $259 | 24% | — | $826 – $1.4k |
Last updated: Apr 1, 2026
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