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
IN-111 PENTETATE PER 0.5 MCI
Valhalla, NY
See all hospitals reporting HCPCS A9548 →Price type
Westchester Medical Center’s median price of $2.3k is 99% above the median hospital's median price ($1.2k), higher than 76% of the 1,793 hospitals reporting HCPCS A9548. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 23 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 blue cross medicare facility · fee schedule · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 2 | Medicare medicare facility · fee schedule · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 3 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 4 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 5 | Oscar oscar medicare facility · fee schedule · outpatient | $768 | $768 | — | — | — | $768 – $768 |
| 6 | Molina affinity by molina mcr facility · fee schedule · outpatient | $783 | $783 | — | — | — | $783 – $783 |
| 7 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 8 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 9 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 10 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | UnitedHealthcare uhc compass facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 13 | UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 16 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 17 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 18 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 19 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 20 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 21 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 22 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 23 | Tricare tricare facility · fee schedule · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
Last updated: Jul 28, 2026
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