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
IN 111 OXINE LEUKOCY /.5 MCI
Erie, PA
See all hospitals reporting HCPCS A9547 →Price type
UPMC Hamot’s median price of $3.0k is 118% above the median hospital's median price ($1.4k), higher than 79% of the 1,533 hospitals reporting HCPCS A9547. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $542 | $542 | — | — | — | $542 – $542 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $788 | $788 | — | — | — | $788 – $788 |
| 3 | WellCare medicare advantage facility · fee schedule · outpatient | $796 | $796 | — | — | — | $796 – $796 |
| 4 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 5 | UnitedHealthcare commercial facility · fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $827 | $827 | — | — | — | $827 – $827 |
| 7 | Highmark medicare facility · fee schedule · outpatient | $834 | $834 | — | — | — | $834 – $834 |
| 8 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $834 | $834 | — | — | — | $834 – $834 |
| 9 | Cigna medicare facility · fee schedule · outpatient | $834 | $834 | — | — | — | $834 – $834 |
| 10 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 13 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 17 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 18 | Highmark upmc emergent facility · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 21 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 22 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 23 | Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 24 | Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 25 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
Last updated: Mar 6, 2026
See Indium-111 oxyquinoline diagnostic agent, 0.5 millicuries pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.