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
TC99 MAG3 P/ DOSE (<= 15MCI)
Pittsburgh, PA
See all hospitals reporting HCPCS A9562 →Price type
UPMC Mercy’s median price of $1.7k is 111% above the median hospital's median price ($820), higher than 86% of the 1,925 hospitals reporting HCPCS A9562. 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 | $828 | $828 | — | — | — | $828 – $828 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $864 | $864 | — | — | — | $864 – $864 |
| 3 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $965 | $965 | — | — | — | $965 – $965 |
| 4 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | $346 | 20% | — | $1.4k – $2.1k |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $346 | 20% | — | $1.4k – $2.1k |
| 19 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Highmark managed care - social mission facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 21 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 23 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | Highmark managed care facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 25 | Highmark commercial - indemnity facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Mar 6, 2026
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