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
XE133 XENON 10MCI
LaFollette, TN
See all hospitals reporting HCPCS A9558 →Price type
Campbell County HMA, LLC’s median price of $253 is 18% below the median hospital's median price ($309), higher than 36% of the 1,455 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: 6 payers, 10 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 | Humana humana ky mcd facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 2 | Aetna aetna better health mcd ky facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 3 | UnitedHealthcare uhc ky mcd facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 4 | WellCare wellcare ky mcd facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 5 | Blue Cross Blue Shield bluecare bh facility · other · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 6 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
| 7 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
| 8 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
| 9 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 10 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
Last updated: Apr 1, 2026
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.