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 SULF COL/SDTO20MCI
Lititz, PA
See all hospitals reporting HCPCS A9541 →Price type
UPMC Lititz’s median price of $367 is 35% above the median hospital's median price ($273), higher than 64% of the 2,069 hospitals reporting HCPCS A9541. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 3 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 4 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 5 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $348 | $348 | — | — | — | $348 – $348 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $366 | $366 | — | — | — | $366 – $366 |
| 7 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $367 | $367 | — | — | — | $367 – $367 |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $367 | $367 | — | — | — | $367 – $367 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $385 | $385 | — | — | — | $385 – $385 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $482 | $482 | — | — | — | $482 – $482 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
Last updated: Mar 6, 2026
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