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
TC-99M TETRO/UNITDOS
Bluffton, IN
See all hospitals reporting HCPCS A9502 →Price type
Bluffton Health System LLC’s median price of $735 is 249% above the median hospital's median price ($211), higher than 93% of the 1,695 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 21 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 node aetna mcr adv facility · other · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 3 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
| 4 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 5 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 6 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 7 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 8 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 9 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 10 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $529 | $529 | — | — | — | $529 – $529 |
| 11 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $558 | $558 | — | — | — | $558 – $558 |
| 12 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $904 | $904 | — | — | — | $904 – $904 |
| 13 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $904 | $904 | — | — | — | $904 – $904 |
| 14 | First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges | $972 | $972 | — | — | — | $972 – $972 |
| 15 | First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges | $972 | $972 | — | — | — | $972 – $972 |
| 16 | Anthem anthem in medicaid facility · other · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | Caresource caresource hhw in medicaid facility · other · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 18 | Caresource caresource in hip facility · other · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | Humana humana pathways in medicaid facility · other · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 21 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
Last updated: Apr 1, 2026
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