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 NA IO I125/GLO-FIL/SDTO10UCI
Hanover, PA
See all hospitals reporting HCPCS A9554 →Price type
UPMC Hanover’s median price of $587 is 3% below the median hospital's median price ($606), higher than 49% of the 978 hospitals reporting HCPCS A9554. 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 | Cigna commercial facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $306 | $306 | — | — | — | $306 – $306 |
| 4 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $491 | $491 | — | — | — | $491 – $491 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $532 | $532 | — | — | — | $532 – $532 |
| 6 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $587 | $587 | — | — | — | $587 – $587 |
| 7 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $587 | $587 | — | — | — | $587 – $587 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $629 | $629 | — | — | — | $629 – $629 |
| 9 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $734 | $734 | — | — | — | $734 – $734 |
| 10 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $734 | $734 | — | — | — | $734 – $734 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $734 | $734 | — | — | — | $734 – $734 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $734 | $734 | — | — | — | $734 – $734 |
Last updated: Mar 6, 2026
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