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
HC TECHNETIUM TC-99M EXAMETAZIME,DX, PER STUDY DOSE, UP TO 25 MCI
Crowley, LA
See all hospitals reporting HCPCS A9521 →Price type
Acadia General Hospital, Inc’s median price of $883 is 50% below the median hospital's median price ($1.7k), higher than 13% of the 1,737 hospitals reporting HCPCS A9521. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 12 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana all payor fee schedule · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 2 | Optum all payor fee schedule · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 3 | Tricare all payor other · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 4 | UnitedHealthcare all payor fee schedule · outpatient | $826 | $826 | $24 | 3% | — | $802 – $850 |
| 5 | WellCare all payor fee schedule · outpatient | $842 | $842 | — | — | — | $842 – $842 |
| 6 | Bcbs La all payor fee schedule · outpatient | $1.9k | $1.6k | $454 | 29% | — | $802 – $1.9k |
| 7 | Aetna all payor fee schedule · outpatient | $1.8k | $1.8k | $956 | 54% | — | $802 – $2.7k |
| 8 | Aetna Better Health all payor other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Amerihealth Caritas all payor other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 10 | Humana all payor other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 11 | UnitedHealthcare all payor other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 12 | Cigna all payor other · outpatient | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
Last updated: Apr 1, 2026
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