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
$11
Average
$231
Median
$103
High
$2.2k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 20.6× 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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145 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $30 | $30 | $3 | 11% | — | $27 – $34 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $30 | $30 | $3 | 11% | — | $27 – $34 |
| 3 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 4 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $864 | $864 | — | — | — | $864 – $864 |
| 5 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $974 | $974 | — | — | — | $974 – $974 |
| 6 | Beebe Medical Center Inc. Lewes, DE facility · fee schedule · outpatient | 1 | $429 | $429 | — | — | — | $429 – $429 |
| 7 | Boone Memorial Hospital Madison, WV other · both | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 8 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $136 | $136 | — | — | — | $136 – $136 |
| 10 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $30 | $30 | $3 | 11% | — | $27 – $34 |
| 11 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $30 | $30 | $3 | 11% | — | $27 – $34 |
| 12 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $596 | $596 | — | — | — | $596 – $596 |
| 13 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $714 | $714 | — | — | — | $714 – $714 |
| 14 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $299 | $250 | $96 | 38% | — | $87 – $317 |
| 15 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | $13 | 29% | — | $32 – $59 |
| 16 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $625 | $625 | — | — | — | $625 – $625 |
| 17 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 19 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 4 | $32 | $32 | $2 | 6% | — | $31 – $34 |
| 20 | Fox Chase Cancer Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $85 | $85 | $1 | 1% | — | $84 – $86 |
| 21 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 3 | $494 | $550 | $295 | 54% | — | $223 – $995 |
| 22 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $30 | $30 | $3 | 11% | — | $27 – $34 |
| 23 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 11 | $30 | $30 | $3 | 11% | — | $27 – $34 |
| 24 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 4 | $277 | $224 | $103 | 46% | — | $48 – $294 |
| 25 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $588 | $588 | — | — | — | $588 – $588 |
← Payers reporting HCPCS A9540 · Snapshot 20261111T120946Z-9134e7f7