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
TC99M MDP IV <= 30MCI
Pittsburgh, PA
See all hospitals reporting HCPCS A9503 →Price type
UPMC Mercy’s median price of $197 is 118% above the median hospital's median price ($90), higher than 80% of the 2,017 hospitals reporting HCPCS A9503. 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, 25 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 complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 3 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 4 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 5 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 6 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 7 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $131 | $131 | — | — | — | $131 – $131 |
| 8 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 9 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 10 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 11 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 12 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 13 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 14 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 15 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 16 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 17 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $197 | $197 | $39 | 20% | — | $157 – $236 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $197 | $197 | $39 | 20% | — | $157 – $236 |
| 19 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 20 | Highmark managed care - social mission facility · fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 21 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $242 | $242 | — | — | — | $242 – $242 |
| 22 | Highmark managed care facility · fee schedule · outpatient | $315 | $315 | — | — | — | $315 – $315 |
| 23 | Highmark commercial - indemnity facility · fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 24 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · inpatientfrom % of charges | $354 | $354 | — | — | — | $354 – $354 |
| 25 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · outpatientfrom % of charges | $354 | $354 | — | — | — | $354 – $354 |
Last updated: Mar 6, 2026
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