Technetium-99m apcitide diagnostic imaging agent at CHRISTUS Hospital - Orange

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 MED A9504 TECHNETIUM TC-99M APCITIDE, DX, PER STUDY DOSE, UP TO 20 MCI

Orange, TX

See all hospitals reporting HCPCS A9504 →

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Pricing by billing methodology

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How this price compares nationally

CHRISTUS Hospital - Orange’s median price of $1.0k is 29% above the median hospital's median price ($810), higher than 66% of the 907 hospitals reporting HCPCS A9504. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9504 at CHRISTUS Hospital - Orange

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 chip km percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
2	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
3	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
4	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
5	UnitedHealthcare all payer fee schedule · outpatient	$509	$509	—	—	—	$509 – $509
6	UnitedHealthcare hix fee schedule · outpatient	$509	$509	—	—	—	$509 – $509
7	Aetna mm percent of total billed charges · outpatientfrom % of charges	$639	$639	—	—	—	$639 – $639
8	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$746	$746	—	—	—	$746 – $746
9	Molina chip km percent of total billed charges · outpatientfrom % of charges	$799	$799	—	—	—	$799 – $799
10	Molina star km percent of total billed charges · outpatientfrom % of charges	$799	$799	—	—	—	$799 – $799
11	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$799	$799	—	—	—	$799 – $799
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$799	$799	—	—	—	$799 – $799
13	Cigna new business percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
14	Humana choicecare fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
15	Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Devoted mm percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	Bcbs Tx heb percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
22	Bcbs Tx traditional percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
23	First Health ppo percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
24	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Last updated: Jan 13, 2026

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