Technetium-99m disofenin 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: TECHNETIUM TC-99M DISOFENIN, DX, PER STUDY DOSE, UP TO 15 MCI

Orange, TX

See all hospitals reporting HCPCS A9510 →

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How this price compares nationally

CHRISTUS Hospital - Orange’s median price of $225 is 91% above the median hospital's median price ($118), higher than 75% of the 1,239 hospitals reporting HCPCS A9510. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9510 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	$58	$58	—	—	—	$58 – $58
2	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
3	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
4	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
5	UnitedHealthcare all payer fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
6	UnitedHealthcare hix fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
7	Aetna mm percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
8	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$161	$161	—	—	—	$161 – $161
9	Molina chip km percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
10	Molina star km percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
11	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
13	Humana choicecare fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
14	Cigna new business percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
15	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$259	$259	—	—	—	$259 – $259
16	Bcbs Tx blue advantage hmo fee schedule · outpatient	$272	$272	—	—	—	$272 – $272
17	Devoted mm percent of total billed charges · outpatientfrom % of charges	$288	$288	—	—	—	$288 – $288
18	Bcbs Tx heb fee schedule · outpatient	$338	$338	—	—	—	$338 – $338
19	Bcbs Tx hmo fee schedule · outpatient	$338	$338	—	—	—	$338 – $338
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
21	First Health ppo percent of total billed charges · outpatientfrom % of charges	$374	$374	—	—	—	$374 – $374
22	Bcbs Tx ppo fee schedule · outpatient	$376	$376	—	—	—	$376 – $376
23	Bcbs Tx traditional fee schedule · outpatient	$399	$399	—	—	—	$399 – $399
24	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$403	$403	—	—	—	$403 – $403
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$403	$403	—	—	—	$403 – $403

Last updated: Jan 13, 2026

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