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
HC TC-99M MAA UP TO 10 MCI
Boulder, CO
See all hospitals reporting HCPCS A9540 →Price type
Boulder Community Health’s median price of $450 is 201% above the median hospital's median price ($150), higher than 81% 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: 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 | $29 | $29 | — | — | — | $29 – $29 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Cigna commercial facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Cigna commercial professional · fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Anthem commercial professional · fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Anthem managed care professional · fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Humana medicare advantage professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 9 | Aetna commercial professional · fee schedule · both | $41 | $41 | $13 | 31% | — | $29 – $54 |
| 10 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $228 | $243 | $80 | 33% | — | $148 – $455 |
| 11 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $262 | $262 | $31 | 12% | — | $230 – $293 |
| 12 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $273 | $273 | $33 | 12% | — | $240 – $306 |
| 13 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $273 | $273 | $33 | 12% | — | $240 – $306 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $194 | $297 | $182 | 61% | — | $132 – $611 |
| 15 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $393 | $393 | $47 | 12% | — | $346 – $440 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | $53 | 12% | — | $388 – $494 |
| 17 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $471 | $471 | $57 | 12% | — | $415 – $528 |
| 18 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $471 | $471 | $57 | 12% | — | $415 – $528 |
| 19 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | $57 | 12% | — | $420 – $535 |
| 20 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | $57 | 12% | — | $420 – $535 |
| 21 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $546 | $546 | $66 | 12% | — | $480 – $611 |
| 22 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $594 | $594 | $71 | 12% | — | $523 – $665 |
Last updated: Sep 16, 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.