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
Xe129 xenon, diagnostic
Low
$0
Average
$26.0k
Median
$591
High
$156k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 686.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 55 | $1.3k | $32.9k | $53.5k | 163% | — | $423 – $236.3k |
| 2 | Aetna facility · fee schedule · outpatient · +4 other terms | 22 | $3.0k | $29.7k | $57.8k | 195% | — | $2.2k – $218.4k |
| 3 | Cigna fee schedule · outpatient · +3 other terms | 22 | $70.3k | $79.7k | $17.9k | 22% | — | $59.9k – $143.2k |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $117 | $128 | $30 | 23% | — | $80 – $199 |
| 5 | Caresource facility · case rate · outpatient | 15 | $120 | $128 | $29 | 23% | — | $80 – $203 |
| 6 | Molina facility · case rate · outpatient | 15 | $117 | $128 | $30 | 23% | — | $82 – $199 |
| 7 | UnitedHealthcare facility · case rate · outpatient | 15 | $120 | $130 | $30 | 23% | — | $82 – $203 |
| 8 | Bcbs Nj fee schedule · outpatient | 12 | $552 | $571 | $255 | 45% | — | $432 – $1.0k |
| 9 | Optum facility · case rate · outpatient | 11 | $111 | $121 | $27 | 22% | — | $100 – $180 |
| 10 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $51.4k | $51.4k | — | — | — | $51.4k – $51.4k |
| 11 | Humana fee schedule · inpatient · +1 other terms | 5 | $49.9k | $49.9k | — | — | — | $49.9k – $49.9k |
| 12 | Bcbs Mn fee schedule · outpatient | 4 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 13 | First Health facility · fee schedule · outpatient | 4 | $156k | $156k | — | — | — | $156k – $156k |
| 14 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $616 | $641 | $38 | 6% | — | $611 – $694 |
| 15 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $442 | $442 | — | — | — | $442 – $442 |
| 16 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Bcbs Id professional · fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 18 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS C9150 · Snapshot 20261113T090226Z-3ce6c0b8