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
NM In111 Octreo Dx/Study Dose
Gary, IN
See all hospitals reporting HCPCS A9572 →Price type
The Methodist Hospitals, Inc.’s median price of $4.0k is about the same as the median hospital's median price ($3.9k), higher than 51% of the 1,683 hospitals reporting HCPCS A9572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 18 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 hmo facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Cigna ppo facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | UnitedHealthcare navigate and core payer facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | Anthem medicare advantage facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Medicare medicare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | Anthem individual on exchange facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 11 | Anthem pathway essentials facility · fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 12 | Caresource caresource facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 13 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 14 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 15 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 16 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 17 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 18 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
Last updated: Aug 18, 2026
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