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 I131 CAP / MCI THERAPEUTIC
Hanover, PA
See all hospitals reporting HCPCS A9517 →Price type
UPMC Hanover’s median price of $169 is 267% above the median hospital's median price ($46), higher than 88% of the 1,810 hospitals reporting HCPCS A9517. 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, 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 | Highmark medicare facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Humana medicare facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Cigna medicare facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 7 | Highmark medicaid facility · fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 8 | Cigna commercial facility · fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Highmark commercial facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 10 | UnitedHealthcare commercial facility · fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 13 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $224 | $224 | — | — | — | $224 – $224 |
| 16 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $261 | $261 | — | — | — | $261 – $261 |
| 17 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $261 | $261 | — | — | — | $261 – $261 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $261 | $261 | — | — | — | $261 – $261 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $261 | $261 | — | — | — | $261 – $261 |
Last updated: Mar 6, 2026
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