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 Presbyterian’s median price of $449 is 400% above the median hospital's median price ($90), higher than 96% of the 2,002 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, 15 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 advantage facility · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 2 | Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 4 | Highmark managed care - social mission facility · fee schedule · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 5 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $269 | $269 | — | — | — | $269 – $269 |
| 6 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 7 | Highmark managed care facility · fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 8 | Highmark commercial - indemnity facility · fee schedule · outpatient | $360 | $360 | — | — | — | $360 – $360 |
| 9 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 10 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 11 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 12 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 13 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $508 | $508 | — | — | — | $508 – $508 |
| 14 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $508 | $508 | — | — | — | $508 – $508 |
| 15 | Highmark upmc emergent facility · fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
Last updated: Mar 6, 2026
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