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
RRX MAA DX/0-10MCI DOSE
Glendale, AZ
See all hospitals reporting HCPCS A9540 →Price type
Banner Thunderbird Medical Center’s median price of $80 is 46% below the median hospital's median price ($150), higher than 32% of the 2,028 hospitals reporting HCPCS A9540. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 14 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 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 3 | Cigna localflex facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Cigna commercial facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 6 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 8 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 9 | Bcbs Az bcbsaz maricopafocus facility · fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 10 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 11 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 12 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 13 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 14 | Bcbs Az commercial facility · fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
Last updated: Mar 2, 2026
See Technetium-99m macroaggregated albumin scan pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.