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
Inj, pegulicianine, 1 mg
Cedar Rapids, IA
See all hospitals reporting HCPCS A9615 →Price type
St Luke's Methodist Hospital’s median price of $38 is 7% below the median hospital's median price ($40), higher than 13% of the 934 hospitals reporting HCPCS A9615. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 12 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 | Wellmark commercial fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Wellmark hmo fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Wellmark ppo fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Aetna medicare advantage case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Molina medicare advantage case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 6 | Wellmark medicare advantage case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 7 | UnitedHealthcare hmo fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Humana medicare advantage case rate · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 11 | Aetna hmo fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Aetna ppo fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
Last updated: Jan 28, 2026
See Pegulicianine injection, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.