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 A9502 MED: TECHNETIUM TC-99M TETROFOSMIN, DX, PER STUDY DOSE
Orange, TX
See all hospitals reporting HCPCS A9502 →Price type
CHRISTUS Hospital - Orange’s median price of $523 is 148% above the median hospital's median price ($211), higher than 88% of the 1,695 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 25 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 | UnitedHealthcare all payer fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 3 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $195 | $195 | $26 | 13% | — | $169 – $221 |
| 4 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $195 | $195 | $26 | 13% | — | $169 – $221 |
| 5 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $195 | $195 | $26 | 13% | — | $169 – $221 |
| 6 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $195 | $195 | $26 | 13% | — | $169 – $221 |
| 7 | Humana choicecare fee schedule · outpatient | $269 | $269 | — | — | — | $269 – $269 |
| 8 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 9 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $467 | $467 | $63 | 13% | — | $405 – $530 |
| 10 | Bcbs Tx heb fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $523 | $523 | — | — | — | $523 – $523 |
| 13 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $545 | $545 | $73 | 13% | — | $472 – $619 |
| 14 | Bcbs Tx traditional fee schedule · outpatient | $555 | $555 | — | — | — | $555 – $555 |
| 15 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $584 | $584 | $78 | 13% | — | $506 – $663 |
| 16 | Molina star km percent of total billed charges · outpatientfrom % of charges | $584 | $584 | $78 | 13% | — | $506 – $663 |
| 17 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $584 | $584 | $78 | 13% | — | $506 – $663 |
| 18 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $584 | $584 | $78 | 13% | — | $506 – $663 |
| 19 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $760 | $760 | $102 | 13% | — | $658 – $862 |
| 20 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $876 | $876 | $118 | 13% | — | $759 – $994 |
| 21 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $974 | $974 | $131 | 13% | — | $843 – $1.1k |
| 22 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $157 | 13% | — | $1.0k – $1.3k |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $170 | 13% | — | $1.1k – $1.4k |
| 24 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $183 | 13% | — | $1.2k – $1.5k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $183 | 13% | — | $1.2k – $1.5k |
Last updated: Jan 13, 2026
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