Xenon-133 gas for diagnostic imaging at AMH Cath Labs LLC

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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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ISO XE-133 GAS PD 10MCI

Arlington, TX

See all hospitals reporting HCPCS A9558 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $78 is 75% below the median hospital's median price ($309), higher than 7% of the 1,449 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9558 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 23 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
6	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
7	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
8	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
9	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
10	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
11	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
12	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
13	Aetna asa percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
14	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
15	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
16	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
17	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
18	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
19	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
20	Blue Cross Blue Shield hmo fee schedule · outpatient	$428	$428	—	—	—	$428 – $428
21	Blue Cross Blue Shield exchange fee schedule · outpatient	$439	$439	—	—	—	$439 – $439
22	Blue Cross Blue Shield ppo fee schedule · outpatient	$475	$475	—	—	—	$475 – $475
23	Blue Cross Blue Shield traditional fee schedule · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Last updated: Apr 21, 2026

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