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 TC99M EXAMET WBC/CERETEC/DIAG/SD
Hanover, PA
See all hospitals reporting HCPCS A9569 →Price type
UPMC Hanover’s median price of $6.5k is 280% above the median hospital's median price ($1.7k), higher than 96% of the 1,610 hospitals reporting HCPCS A9569. 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, 18 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 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 2 | Humana medicare facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Aetna medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Cigna medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | Cigna commercial facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 9 | Highmark commercial facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 10 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 12 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 13 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 15 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 16 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
Last updated: Mar 6, 2026
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