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 A9540 MED: TECHNETIUM TC-99M MACROAGGREGATED ALBUMIN, DX, PER STUDY DOSE, UP TO 10 MCI
Orange, TX
See all hospitals reporting HCPCS A9540 →Price type
CHRISTUS Hospital - Orange’s median price of $223 is 49% above the median hospital's median price ($150), higher than 62% of the 2,028 hospitals reporting HCPCS A9540. 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 | $29 | $29 | — | — | — | $29 – $29 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Humana choicecare fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 5 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $129 | $129 | $56 | 43% | — | $73 – $186 |
| 6 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $129 | $129 | $56 | 43% | — | $73 – $186 |
| 7 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $129 | $129 | $56 | 43% | — | $73 – $186 |
| 8 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $129 | $129 | $56 | 43% | — | $73 – $186 |
| 9 | Bcbs Tx heb fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 11 | Bcbs Tx ppo fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 12 | Bcbs Tx traditional fee schedule · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 13 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $311 | $311 | $135 | 43% | — | $176 – $445 |
| 14 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $362 | $362 | $157 | 43% | — | $206 – $519 |
| 15 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $388 | $388 | $168 | 43% | — | $220 – $557 |
| 16 | Molina star km percent of total billed charges · outpatientfrom % of charges | $388 | $388 | $168 | 43% | — | $220 – $557 |
| 17 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $388 | $388 | $168 | 43% | — | $220 – $557 |
| 18 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $388 | $388 | $168 | 43% | — | $220 – $557 |
| 19 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $505 | $505 | $219 | 43% | — | $286 – $724 |
| 20 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $583 | $583 | $252 | 43% | — | $330 – $835 |
| 21 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $647 | $647 | $280 | 43% | — | $367 – $928 |
| 22 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $777 | $777 | $336 | 43% | — | $440 – $1.1k |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $841 | $841 | $364 | 43% | — | $477 – $1.2k |
| 24 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $906 | $906 | $392 | 43% | — | $514 – $1.3k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $906 | $906 | $392 | 43% | — | $514 – $1.3k |
Last updated: Jan 13, 2026
See Technetium-99m macroaggregated albumin scan pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.