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
$53.0k
Average
$74.4k
Median
$70.3k
High
$143.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 1.8× 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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41 hospital rates
iThe hospitals that file a Cigna 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 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $132.6k | $132.6k | — | — | — | $132.6k – $132.6k |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $89.1k | $89.1k | — | — | — | $89.1k – $89.1k |
| 3 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 1 | $89.1k | $89.1k | — | — | — | $89.1k – $89.1k |
| 4 | Danbury Hospital New Milford, CT fee schedule · outpatient | 1 | $59.9k | $59.9k | — | — | — | $59.9k – $59.9k |
| 5 | MaineHealth Brunswick, ME fee schedule · both | 2 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 6 | MaineHealth Rockport, ME fee schedule · both | 1 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 7 | MaineHealth Westbrook, ME fee schedule · both | 1 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 8 | MaineHealth Damariscotta, ME fee schedule · both | 1 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 9 | MaineHealth North Conway, NH fee schedule · both | 1 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 10 | MaineHealth Belfast, ME fee schedule · both | 1 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 11 | MaineHealth Farmington, ME fee schedule · both | 1 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 12 | MaineHealth Portland, ME fee schedule · both | 2 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 13 | MaineHealth Biddeford, ME fee schedule · both | 2 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 14 | MaineHealth Norway, ME fee schedule · both | 1 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · fee schedule · outpatient | 1 | $104.9k | $104.9k | — | — | — | $104.9k – $104.9k |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 17 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 1 | $79.6k | $79.6k | — | — | — | $79.6k – $79.6k |
| 18 | New Liberty Hospital Corporation Liberty, MO facility · fee schedule · outpatient | 4 | $59.9k | $59.9k | — | — | — | $59.9k – $59.9k |
| 19 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $85.9k | $85.9k | — | — | — | $85.9k – $85.9k |
| 20 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $85.9k | $85.9k | — | — | — | $85.9k – $85.9k |
| 21 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $85.9k | $85.9k | — | — | — | $85.9k – $85.9k |
| 22 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $85.9k | $85.9k | — | — | — | $85.9k – $85.9k |
| 23 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $85.9k | $85.9k | — | — | — | $85.9k – $85.9k |
| 24 | Norwalk Hospital Norwalk, CT fee schedule · outpatient | 1 | $59.9k | $59.9k | — | — | — | $59.9k – $59.9k |
| 25 | Sharon Hospital Sharon, CT fee schedule · outpatient | 1 | $59.9k | $59.9k | — | — | — | $59.9k – $59.9k |
← Payers reporting HCPCS C9150 · Snapshot 20261113T090226Z-3ce6c0b8