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
AMMONIA N-13 3.75 MCI TO 37.5 MCI/ML INTRAVENOUS SOLUTION [167925]
Elyria, OH
See all hospitals reporting HCPCS A9526 →Price type
University Hospitals Health System’s median price of $677 is 42% below the median hospital's median price ($1.2k), higher than 20% of the 892 hospitals reporting HCPCS A9526. 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, 19 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 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $402 | $402 | — | — | — | $402 – $402 |
| 2 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $436 | $436 | — | — | — | $436 – $436 |
| 3 | Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges | $443 | $443 | — | — | — | $443 – $443 |
| 4 | Medical Mutual supermed hmo facility · percent of total billed charges · outpatientfrom % of charges | $447 | $447 | — | — | — | $447 – $447 |
| 5 | Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges | $492 | $492 | — | — | — | $492 – $492 |
| 6 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $561 | $561 | — | — | — | $561 – $561 |
| 7 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $561 | $561 | — | — | — | $561 – $561 |
| 8 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $603 | $603 | — | — | — | $603 – $603 |
| 9 | UnitedHealthcare nexus commercial facility · percent of total billed charges · outpatientfrom % of charges | $657 | $657 | — | — | — | $657 – $657 |
| 10 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $677 | $677 | — | — | — | $677 – $677 |
| 11 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $677 | $677 | — | — | — | $677 – $677 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $730 | $730 | — | — | — | $730 – $730 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $813 | $813 | — | — | — | $813 – $813 |
| 14 | Medical Mutual hmo facility · percent of total billed charges · inpatientfrom % of charges | $853 | $853 | — | — | — | $853 – $853 |
| 15 | Medical Mutual hmo facility · percent of total billed charges · outpatientfrom % of charges | $853 | $853 | — | — | — | $853 – $853 |
| 16 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Jul 14, 2026
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