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
$2.5k
Average
$55.2k
Median
$51.2k
High
$218.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 59.2× 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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43 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $2.5k | $2.5k | $312 | 12% | — | $2.2k – $2.8k |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $156k | $156k | — | — | — | $156k – $156k |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $157.6k | $157.6k | — | — | — | $157.6k – $157.6k |
| 4 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $129.8k | $129.8k | — | — | — | $129.8k – $129.8k |
| 5 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 6 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $51.2k | $51.2k | — | — | — | $51.2k – $51.2k |
| 7 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 3 | $2.7k | $2.6k | $268 | 10% | — | $2.2k – $2.8k |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 2 | $2.5k | $2.5k | $312 | 12% | — | $2.2k – $2.8k |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 3 | $2.7k | $2.6k | $268 | 10% | — | $2.2k – $2.8k |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 3 | $2.7k | $2.6k | $268 | 10% | — | $2.2k – $2.8k |
| 11 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $76.9k | $76.9k | — | — | — | $76.9k – $76.9k |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 13 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $57.2k | $57.2k | — | — | — | $57.2k – $57.2k |
| 15 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $57.2k | $57.2k | — | — | — | $57.2k – $57.2k |
| 16 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $86.4k | $86.4k | — | — | — | $86.4k – $86.4k |
| 17 | Fairview Hospital Cleveland, OH facility · fee schedule · outpatient | 2 | $2.5k | $2.5k | $312 | 12% | — | $2.2k – $2.8k |
| 18 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $51.2k | $51.2k | — | — | — | $51.2k – $51.2k |
| 19 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 1 | $51.2k | $51.2k | — | — | — | $51.2k – $51.2k |
| 20 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $156k | $156k | — | — | — | $156k – $156k |
| 21 | Jennie Stuart Medical Center Hopkinsville, KY facility · fee schedule · outpatient | 1 | $52.4k | $52.4k | — | — | — | $52.4k – $52.4k |
| 22 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $74.9k | $74.9k | — | — | — | $74.9k – $74.9k |
| 23 | LUTHERAN HOSPITAL Cleveland, OH facility · fee schedule · outpatient | 3 | $2.7k | $2.6k | $268 | 10% | — | $2.2k – $2.8k |
| 24 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · fee schedule · inpatient | 1 | $218.4k | $218.4k | — | — | — | $218.4k – $218.4k |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · fee schedule · outpatient | 1 | $218.4k | $218.4k | — | — | — | $218.4k – $218.4k |
← Payers reporting HCPCS C9150 · Snapshot 20261113T090226Z-3ce6c0b8