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
Lititz, PA
See all hospitals reporting HCPCS A9517 →Price type
UPMC Lititz’s median price of $137 is 197% above the median hospital's median price ($46), higher than 85% of the 1,806 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: 6 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 | Aetna medicare facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Cigna medicare facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 6 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Highmark medicaid facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 8 | Highmark commercial facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 10 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 11 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 14 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 15 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 16 | UnitedHealthcare commercial facility · fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 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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