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
$1
Average
$32.8k
Median
$1.3k
High
$216.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 163.3× 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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65 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 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $865 | $865 | $61 | 7% | — | $804 – $925 |
| 2 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 3 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $865 | $865 | $61 | 7% | — | $804 – $925 |
| 4 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $781 | $783 | $4 | 0% | — | $781 – $790 |
| 6 | Danbury Hospital New Milford, CT fee schedule · outpatient | 4 | $78.4k | $79.5k | $4.7k | 6% | — | $74.0k – $87.1k |
| 7 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · fee schedule · outpatient | 3 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 2 | $161.2k | $161.2k | $3.0k | 2% | — | $158.2k – $164.2k |
| 10 | Logan Health - Whitefish Whitefish, MT fee schedule · outpatient | 3 | $97.8k | $97.8k | — | — | — | $97.8k – $97.8k |
| 11 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 4 | $781 | $783 | $4 | 0% | — | $781 – $790 |
| 12 | MED CITY HEART HOSPITAL Dallas, TX fee schedule · outpatient | 1 | $583 | $583 | — | — | — | $583 – $583 |
| 13 | MED CITY SPINE HOSPITAL DALLAS, TX fee schedule · outpatient | 1 | $583 | $583 | — | — | — | $583 – $583 |
| 14 | MEDICAL CITY ALLIANCE HASLET, TX fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | MEDICAL CITY DALLAS GARLAND, TX fee schedule · outpatient | 1 | $583 | $583 | — | — | — | $583 – $583 |
| 17 | MEDICAL CITY DECATUR DECATUR, TX fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | MEDICAL CITY DENTON Denton, TX fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | MEDICAL CITY FORT WORTH FORT WORTH, TX fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | MEDICAL CITY FRISCO Frisco, TX fee schedule · outpatient | 1 | $691 | $691 | — | — | — | $691 – $691 |
| 21 | MEDICAL CITY LAS COLINAS Irving, TX fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | MEDICAL CITY LEWISVILLE Lewisville, TX fee schedule · outpatient | 1 | $852 | $852 | — | — | — | $852 – $852 |
| 23 | MEDICAL CITY MCKINNEY MCKINNEY, TX fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | MEDICAL CITY NORTH HILLS North Richland Hills, TX fee schedule · outpatient | 1 | $744 | $744 | — | — | — | $744 – $744 |
| 25 | MEDICAL CITY PLANO Plano, TX fee schedule · outpatient | 1 | $691 | $691 | — | — | — | $691 – $691 |
← Payers reporting HCPCS C9150 · Snapshot 20261113T090226Z-3ce6c0b8