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 A9557 MED: TECHNETIUM TC-99M BICISATE, DX, PER STUDY DOSE, UP TO 25 MCI
Orange, TX
See all hospitals reporting HCPCS A9557 →Price type
CHRISTUS Hospital - Orange’s median price of $837 is 35% below the median hospital's median price ($1.3k), higher than 29% of the 1,548 hospitals reporting HCPCS A9557. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 30 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 | $671 | $671 | $90 | 13% | — | $581 – $761 |
| 2 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $671 | $671 | $90 | 13% | — | $581 – $761 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $671 | $671 | $90 | 13% | — | $581 – $761 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $671 | $671 | $90 | 13% | — | $581 – $761 |
| 5 | UnitedHealthcare all payer fee schedule · outpatient | $684 | $684 | — | — | — | $684 – $684 |
| 6 | UnitedHealthcare hix fee schedule · outpatient | $684 | $684 | — | — | — | $684 – $684 |
| 7 | Aetna mm fee schedule · outpatient | $685 | $685 | — | — | — | $685 – $685 |
| 8 | Bcbs Tx mm fee schedule · outpatient | $685 | $685 | — | — | — | $685 – $685 |
| 9 | Humana gold choice mm fee schedule · outpatient | $685 | $685 | — | — | — | $685 – $685 |
| 10 | Molina medicare adv mm fee schedule · outpatient | $685 | $685 | — | — | — | $685 – $685 |
| 11 | UnitedHealthcare mm fee schedule · outpatient | $685 | $685 | — | — | — | $685 – $685 |
| 12 | WellCare mm fee schedule · outpatient | $685 | $685 | — | — | — | $685 – $685 |
| 13 | Devoted mm fee schedule · outpatient | $740 | $740 | — | — | — | $740 – $740 |
| 14 | Humana choicecare fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Bcbs Tx heb fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Bcbs Tx hmo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $252 | 13% | — | $1.6k – $2.1k |
| 19 | Bcbs Tx ppo fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $270 | 13% | — | $1.7k – $2.3k |
| 21 | Molina star km percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $270 | 13% | — | $1.7k – $2.3k |
| 22 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $270 | 13% | — | $1.7k – $2.3k |
| 23 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $270 | 13% | — | $1.7k – $2.3k |
| 24 | Bcbs Tx traditional fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | $351 | 13% | — | $2.3k – $3.0k |
Last updated: Jan 13, 2026
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