Technetium-99m pentetate diagnostic imaging agent at Boulder Community Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

dtpa technetium tc 99m pentetate inj per 25 millicurie

Boulder, CO

See all hospitals reporting HCPCS A9539 →

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $359 is 198% above the median hospital's median price ($121), higher than 84% of the 1,794 hospitals reporting HCPCS A9539. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9539 at Boulder Community Health

Negotiated rates from the hospital’s own file: 8 payers, 22 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 professional · fee schedule · both	$30	$30	—	—	—	$30 – $30
2	Cigna commercial facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
3	Cigna commercial professional · fee schedule · both	$32	$32	—	—	—	$32 – $32
4	Anthem commercial professional · fee schedule · both	$32	$32	—	—	—	$32 – $32
5	Anthem managed care professional · fee schedule · both	$32	$32	—	—	—	$32 – $32
6	Humana medicare advantage professional · fee schedule · both	$38	$38	—	—	—	$38 – $38
7	UnitedHealthcare commercial professional · fee schedule · both	$38	$38	—	—	—	$38 – $38
8	UnitedHealthcare medicare advantage professional · fee schedule · both	$38	$38	—	—	—	$38 – $38
9	Aetna commercial professional · fee schedule · both	$43	$43	$13	31%	—	$30 – $57
10	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$192	$222	$68	30%	—	$154 – $371
11	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$240	$240	—	—	—	$240 – $240
12	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
13	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
14	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$178	$271	$162	60%	—	$138 – $499
15	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
16	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$404	$404	—	—	—	$404 – $404
17	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$431	$431	—	—	—	$431 – $431
18	Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges	$431	$431	—	—	—	$431 – $431
19	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$437	$437	—	—	—	$437 – $437
20	Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges	$437	$437	—	—	—	$437 – $437
21	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$499	$499	—	—	—	$499 – $499
22	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$543	$543	—	—	—	$543 – $543

Last updated: Sep 16, 2026

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