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
HC PERT 99 MTC
Hanover, PA
See all hospitals reporting HCPCS A4641 →Price type
UPMC Hanover’s median price of $88 is 75% below the median hospital's median price ($357), higher than 13% of the 578 hospitals reporting HCPCS A4641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 4 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 5 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 8 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 9 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 10 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
Last updated: Mar 6, 2026
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