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 IN111 PNTIDE/OCTRESCN/SDTO6MCI
Hanover, PA
See all hospitals reporting HCPCS A9572 →Price type
UPMC Hanover’s median price of $16.7k is 324% above the median hospital's median price ($3.9k), higher than 96% of the 1,675 hospitals reporting HCPCS A9572. 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, 17 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 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | Humana medicare facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Aetna medicare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Cigna medicare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 7 | Highmark medicaid facility · fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 8 | Highmark commercial facility · fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 9 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $17.3k | $17.3k | — | — | — | $17.3k – $17.3k |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $22.1k | $22.1k | — | — | — | $22.1k – $22.1k |
| 14 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 15 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
Last updated: Mar 6, 2026
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