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 XENON XE-133 GAS, DX, PER 10 MCI
Monroe, LA
See all hospitals reporting HCPCS A9558 →Price type
Brfhh Monroe, Llc’s median price of $252 is 19% below the median hospital's median price ($309), higher than 35% of the 1,445 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 8 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 Better Health all payor other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 2 | Amerihealth Caritas all payor other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Humana all payor other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 4 | UnitedHealthcare all payor other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 5 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $220 | $220 | $21 | 9% | — | $200 – $241 |
| 6 | Bcbs La all payor fee schedule · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 7 | Cigna all payor other · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 8 | MultiPlan all payor other · outpatient | $482 | $482 | — | — | — | $482 – $482 |
Last updated: Apr 1, 2026
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