Diagnostic nitrogen-13 ammonia imaging dose

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION

Payers reporting HCPCS A9526

Payer pricing summary

Low

$107

Average

$1.5k

Median

$1.0k

High

$10.8k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	334	$1.3k	$1.3k	$668	50%	—	$67 – $4.6k
2	Cigna fee schedule · outpatient · +14 other terms	173	$1.3k	$2.1k	$1.4k	69%	—	$612 – $5.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	127	$1.6k	$1.9k	$985	52%	—	$1 – $4.3k
4	Aetna fee schedule · outpatient · +16 other terms	82	$1.6k	$1.8k	$797	46%	—	$396 – $6.9k
5	Humana fee schedule · outpatient · +12 other terms	69	$1.0k	$1.1k	$677	62%	—	$275 – $2.9k
6	Kaiser fee schedule · both · +4 other terms	41	$1.2k	$1.1k	$299	27%	—	$811 – $1.6k
7	Anthem fee schedule · outpatient · +13 other terms	34	$736	$1.2k	$533	46%	—	$659 – $3.1k
8	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$2.6k	$2.4k	$784	33%	—	$962 – $4.1k
9	Caresource facility · case rate · outpatient · +4 other terms	15	$120	$128	$29	23%	—	$80 – $203
10	Medica fee schedule · outpatient · +5 other terms	15	$988	$1.2k	$472	38%	—	$251 – $1.8k
11	Molina facility · case rate · outpatient · +8 other terms	15	$117	$128	$30	23%	—	$82 – $199
12	Medcost percent of total billed charges · bothfrom % of charges · +1 other terms	14	$990	$1.2k	$323	28%	—	$919 – $2.5k
13	Highmark fee schedule · outpatient · +4 other terms	13	$665	$668	$76	11%	—	$592 – $864
14	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	13	$586	$653	$246	38%	—	$244 – $1.1k
15	Wellmark fee schedule · both · +1 other terms	13	$117	$135	$108	80%	—	$117 – $791
16	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$516	$328	$287	87%	—	$0 – $646
17	Bcbs Nj fee schedule · outpatient	12	$656	$656	—	—	—	$656 – $656
18	Optum facility · case rate · outpatient · +7 other terms	11	$111	$121	$27	22%	—	$100 – $180
19	Oscar facility · percent of total billed charges · bothfrom % of charges · +6 other terms	11	$1.3k	$1.2k	$145	12%	—	$797 – $1.3k
20	Ucare fee schedule · both · +1 other terms	9	$160	$160	$4	3%	—	$156 – $166
21	Aetna Better Health fee schedule · inpatient · +4 other terms	7	$652	$652	—	—	—	$652 – $652
22	Bcbs La fee schedule · outpatient · +1 other terms	7	$115	$118	$4	3%	—	$115 – $123
23	Ambetter percent of total billed charges · bothfrom % of charges · +2 other terms	6	$10.6k	$7.4k	$4.6k	62%	—	$841 – $10.6k
24	MultiPlan fee schedule · inpatient · +11 other terms	6	$410	$410	—	—	—	$410 – $410
25	Phcs fee schedule · inpatient · +5 other terms	6	$342	$342	—	—	—	$342 – $342

Page 1 of 2 · 42 payers