Technetium-99m disofenin diagnostic imaging agent at Allina Health Systems

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

NM DOSE TECH 99M HEPATOLITE/DISOFENIN 15 MCI

Ulm, MN

See all hospitals reporting HCPCS A9510 →

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $98 is 17% below the median hospital's median price ($118), higher than 37% of the 1,239 hospitals reporting HCPCS A9510. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9510 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 24 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	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
2	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
3	Medicaid medicaid ma (n) facility · other · outpatient	$56	$56	—	—	—	$56 – $56
4	Medica medica medicare (r) facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
5	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
6	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
7	UnitedHealthcare united healthcare (nr) facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
8	Bcbs Mn bc pmap (n) facility · other · outpatient	$77	$77	—	—	—	$77 – $77
9	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
10	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
11	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
12	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
13	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
14	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
15	Cigna hpi cigna (n) facility · other · outpatient	$104	$104	—	—	—	$104 – $104
16	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
17	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
18	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
21	Bcbs Mn bc state health plan (n) facility · other · outpatient	$207	$207	—	—	—	$207 – $207
22	Bcbs Mn bc premier(n) facility · other · outpatient	$265	$265	—	—	—	$265 – $265
23	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$312	$312	—	—	—	$312 – $312
24	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$335	$335	—	—	—	$335 – $335

Last updated: Jun 16, 2026

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