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
Technetium TC-99m auto WBC
Chicago, IL
See all hospitals reporting HCPCS A9569 →Price type
Advocate Trinity Hospital’s median price of $2.9k is 72% above the median hospital's median price ($1.7k), higher than 77% of the 1,618 hospitals reporting HCPCS A9569. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 6 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 | Ambetter medicare advantage case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Molina medicare advantage case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | Oscar medicare advantage case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Cigna commercial fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 5 | UnitedHealthcare commercial fee schedule · outpatient | $2.9k | $4.0k | $1.5k | 37% | — | $2.9k – $6.0k |
| 6 | UnitedHealthcare hmo fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
Last updated: Nov 4, 2025
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