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 CAPROMAB PENDETIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 10 MILLICURIES
Ukiah, CA
See all hospitals reporting HCPCS A9507 →Price type
Ukiah Adventist Hospital’s median price of $3.7k is 29% above the median hospital's median price ($2.9k), higher than 61% of the 1,138 hospitals reporting HCPCS A9507. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 mcr adv other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | Blue Cross Blue Shield tricare blue shield-all plans other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Kaiser kaiser mcr adv other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | UnitedHealthcare uhc mcr adv other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Kaiser kaiser medi-cal fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 8 | Medicaid medi-cal fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | UnitedHealthcare uhc jll csp 1/1/25 fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 10 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 11 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 12 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 13 | UnitedHealthcare uhc all payer-all other plans fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 14 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 15 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 16 | Blue Cross Blue Shield blue cross mcs-all other plans fee schedule · outpatient | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 17 | Aetna aetna-all plans fee schedule · outpatient | $33.0k | $33.0k | — | — | — | $33.0k – $33.0k |
Last updated: May 24, 2026
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