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
PEGULICIANINE 1 MG INJ
Haven, FL
See all hospitals reporting HCPCS A9615 →Price type
Winter Haven Hospital’s median price of $83 is 107% above the median hospital's median price ($40), higher than 89% of the 934 hospitals reporting HCPCS A9615. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 42 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
| 3 | Aetna medicare ppo facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 5 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Aetna medicare hmo facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Cigna medicare hmo facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 8 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 9 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 10 | Humana medicare hmo facility · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 11 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 12 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 13 | WellCare medicare hmo facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 14 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 15 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 16 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 17 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 18 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 19 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 20 | Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 21 | UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 22 | UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 23 | Ambetter commercial select core facility · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 24 | MultiPlan commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 25 | MultiPlan commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
Last updated: Jan 1, 2026
See Pegulicianine injection, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.