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 SULF COL/20MCI
Wayne, IN
See all hospitals reporting HCPCS A9541 →Price type
St. Joseph Health System, LLC’s median price of $177 is 35% below the median hospital's median price ($273), higher than 25% of the 2,096 hospitals reporting HCPCS A9541. 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 | $76 | $88 | $20 | 23% | — | $76 – $123 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $76 | $88 | $20 | 23% | — | $76 – $123 |
| 3 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $86 | $99 | $23 | 23% | — | $86 – $139 |
| 4 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $86 | $99 | $23 | 23% | — | $86 – $139 |
| 5 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $109 | $125 | $29 | 23% | — | $109 – $176 |
| 6 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $109 | $125 | $29 | 23% | — | $109 – $176 |
| 7 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $160 | $185 | $43 | 23% | — | $160 – $260 |
| 8 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $160 | $185 | $43 | 23% | — | $160 – $260 |
| 9 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $163 | $188 | $44 | 23% | — | $163 – $264 |
| 10 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $163 | $188 | $44 | 23% | — | $163 – $264 |
| 11 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $177 | $204 | $47 | 23% | — | $177 – $287 |
| 12 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $177 | $204 | $47 | 23% | — | $177 – $287 |
| 13 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $184 | $213 | $49 | 23% | — | $184 – $298 |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $184 | $213 | $49 | 23% | — | $184 – $298 |
| 15 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $189 | $218 | $51 | 23% | — | $189 – $306 |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $189 | $218 | $51 | 23% | — | $189 – $306 |
| 17 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $236 | $273 | $63 | 23% | — | $236 – $382 |
| 18 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $236 | $273 | $63 | 23% | — | $236 – $382 |
| 19 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $236 | $273 | $63 | 23% | — | $236 – $382 |
| 20 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $236 | $273 | $63 | 23% | — | $236 – $382 |
| 21 | Anthem anthem in ppo facility · fee schedule · outpatient | $775 | $775 | — | — | — | $775 – $775 |
Last updated: Apr 1, 2026
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