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
York, PA
See all hospitals reporting HCPCS A9541 →Price type
UPMC Memorial’s median price of $430 is 58% above the median hospital's median price ($273), higher than 72% of the 2,076 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: 6 payers, 13 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 | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 4 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $323 | $323 | — | — | — | $323 – $323 |
| 5 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 6 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $382 | $382 | — | — | — | $382 – $382 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $385 | $385 | — | — | — | $385 – $385 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $444 | $444 | — | — | — | $444 – $444 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $482 | $482 | — | — | — | $482 – $482 |
| 10 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 12 | Blue Cross Blue Shield chip facility · fee schedule · outpatient | $778 | $778 | — | — | — | $778 – $778 |
| 13 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $778 | $778 | — | — | — | $778 – $778 |
Last updated: Mar 6, 2026
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