Xenon-133 gas for diagnostic imaging 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

HC XE 133/10 MCI

Boulder, CO

See all hospitals reporting HCPCS A9558 →

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Pricing by billing methodology

Price type

How this price compares nationally

Boulder Community Health’s median price of $367 is 19% above the median hospital's median price ($309), higher than 58% of the 1,455 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9558 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	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$171	$188	$59	31%	—	$121 – $337
2	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$203	$203	$15	7%	—	$188 – $217
3	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$211	$211	$15	7%	—	$196 – $226
4	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$211	$211	$15	7%	—	$196 – $226
5	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$150	$230	$138	60%	—	$108 – $453
6	Anthem commercial professional · fee schedule · both	$236	$236	—	—	—	$236 – $236
7	Anthem managed care professional · fee schedule · both	$236	$236	—	—	—	$236 – $236
8	Aetna medicare advantage professional · fee schedule · both	$245	$245	—	—	—	$245 – $245
9	UnitedHealthcare commercial professional · fee schedule · both	$255	$255	—	—	—	$255 – $255
10	Cigna commercial facility · fee schedule · outpatient	$260	$260	—	—	—	$260 – $260
11	UnitedHealthcare medicare advantage professional · fee schedule · both	$263	$263	—	—	—	$263 – $263
12	Cigna commercial professional · fee schedule · both	$268	$268	—	—	—	$268 – $268
13	Humana medicare advantage professional · fee schedule · both	$300	$300	—	—	—	$300 – $300
14	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$304	$304	$22	7%	—	$282 – $326
15	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$342	$342	$25	7%	—	$317 – $366
16	Aetna commercial professional · fee schedule · both	$353	$353	$108	31%	—	$245 – $460
17	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$365	$365	$26	7%	—	$338 – $391
18	Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges	$365	$365	$26	7%	—	$338 – $391
19	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$370	$370	$27	7%	—	$343 – $396
20	Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges	$370	$370	$27	7%	—	$343 – $396
21	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$422	$422	$30	7%	—	$392 – $453
22	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$460	$460	$33	7%	—	$427 – $493

Last updated: Sep 16, 2026

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See Xenon-133 gas for diagnostic imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.