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
KIT FOR PREPARATION OF TC 99M-ALBUMIN 2.5 MG INTRAVENOUS SOLUTION
Low
$0
Average
$583
Median
$117
High
$54.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
909 hospitals; the 90th percentile is 20.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,206 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $80 | $80 | — | — | 50 | $80 – $80 |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $133.8k | $133.8k | $133.1k | 100% | 16–25 | $637 – $266.9k |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $133.8k | $133.8k | $133.1k | 100% | 16–25 | $637 – $266.9k |
| 4 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | 12 | $128 – $128 |
| 5 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $200 | $200 | $27 | 13% | 11 | $174 – $227 |
| 6 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ other · outpatient | 3 | $180 | $180 | — | — | 6–60 | $180 – $180 |
| 7 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $189 | $8 | 4% | 5–50 | $175 – $195 |
| 8 | Virtua_Memorial_Hospital_Inc | Holly, NJ other · outpatient | 2 | $77 | $77 | $53 | 68% | 4–40 | $25 – $130 |
| 9 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ other · outpatient | 2 | $25 | $25 | — | — | 4–40 | $25 – $25 |
| 10 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ other · outpatient | 2 | $25 | $25 | — | — | 4–40 | $25 – $25 |
| 11 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $278 | $278 | — | — | 3–30 | $278 – $278 |
| 12 | Jackson Purchase Medical Center Mayfield, KY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $74 | $74 | — | — | 3–30 | $74 – $74 |
| 13 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $633 | $580 | $299 | 52% | 3–30 | $326 – $1.3k |
| 14 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $633 | $580 | $299 | 52% | 3–30 | $326 – $1.3k |
| 15 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 19 | $248 | $259 | $46 | 18% | 3–30 | $207 – $345 |
| 16 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $376 | $23.2k | $32.2k | 139% | 3–30 | $358 – $68.7k |
| 17 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ fee schedule · outpatient | 3 | $58 | $58 | — | — | 3–30 | $58 – $58 |
| 18 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $69 | $72 | $24 | 33% | 2–20 | $32 – $102 |
| 19 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $69 | $72 | $24 | 33% | 2–20 | $32 – $102 |
| 20 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $69 | $72 | $24 | 33% | 2–20 | $32 – $102 |
| 21 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $69 | $72 | $24 | 33% | 2–20 | $32 – $102 |
| 22 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $69 | $72 | $24 | 33% | 2–20 | $32 – $102 |
| 23 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 2–20 | $1.5k – $1.5k |
| 24 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 25 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $979 | $979 | — | — | 2–20 | $979 – $979 |
← Payers reporting HCPCS A9540 · Snapshot 20261111T120946Z-9134e7f7