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
$400
Median
$139
High
$23.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1439 hospitals; the 90th percentile is 17.0× 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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2,134 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $121 | $143 | $27 | 19% | 110 | $91 – $171 |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24.2k | $24.2k | — | — | 15 | $24.2k – $24.2k |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24.2k | $24.2k | — | — | 15 | $24.2k – $24.2k |
| 4 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $168 | $157 | $27 | 17% | 11 | $76 – $171 |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 2 | $160 | $160 | — | — | 4–40 | $160 – $160 |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 2 | $201 | $201 | — | — | 4–40 | $201 – $201 |
| 7 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 3 | $490 | $490 | — | — | 3–30 | $490 – $490 |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $587 | $594 | $9 | 2% | 3–30 | $587 – $607 |
| 9 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 3 | $695 | $683 | $16 | 2% | 3–30 | $660 – $695 |
| 10 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $725 | $956 | $359 | 38% | 3–30 | $608 – $1.5k |
| 11 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $725 | $956 | $359 | 38% | 3–30 | $608 – $1.5k |
| 12 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $243 | $110 | 45% | 3–30 | $116 – $385 |
| 13 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $358 | $22.0k | $30.7k | 139% | 3–30 | $340 – $65.4k |
| 14 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ other · outpatient | 1 | $14 | $14 | — | — | 3–30 | $14 – $14 |
| 15 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | 2–20 | $138 – $138 |
| 16 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $128 | $127 | 99% | 2–20 | $15 – $340 |
| 17 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 2 | $160 | $160 | — | — | 2–20 | $160 – $160 |
| 18 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 2 | $201 | $201 | — | — | 2–20 | $201 – $201 |
| 19 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $152 | $152 | $7 | 5% | 2–20 | $145 – $160 |
| 20 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 2 | $152 | $152 | $7 | 5% | 2–20 | $145 – $160 |
| 21 | Hospital Authority of Colquitt County Moultrie, GA percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | $8 | 3% | 2–20 | $246 – $261 |
| 22 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN percent of total billed charges · bothfrom % of charges | 1 | $202 | $202 | $17 | 9% | 2–20 | $184 – $219 |
| 23 | METHODIST SOUTH HOSPITAL MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $219 | $348 | $207 | 60% | 2–20 | $184 – $640 |
| 24 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 4 | $152 | $152 | $84 | 55% | 2–20 | $68 – $236 |
| 25 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $88 | $88 | — | — | 2–20 | $88 – $88 |
← Payers reporting HCPCS A9540 · Snapshot 20261111T120946Z-9134e7f7