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 TC-99M ARCITUMOMAB, DX, PER STUDY DOSE, UP TO 45 MCI
Orange, TX
See all hospitals reporting HCPCS A9568 →Price type
CHRISTUS Hospital - Orange’s median price of $876 is 34% below the median hospital's median price ($1.3k), higher than 28% of the 1,064 hospitals reporting HCPCS A9568. 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 | $653 | $653 | — | — | — | $653 – $653 |
| 2 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $653 | $653 | — | — | — | $653 – $653 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $653 | $653 | — | — | — | $653 – $653 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $653 | $653 | — | — | — | $653 – $653 |
| 5 | UnitedHealthcare all payer fee schedule · outpatient | $810 | $810 | — | — | — | $810 – $810 |
| 6 | UnitedHealthcare hix fee schedule · outpatient | $810 | $810 | — | — | — | $810 – $810 |
| 7 | Aetna mm fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 8 | Bcbs Tx mm fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 9 | Humana gold choice mm fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 10 | Molina medicare adv mm fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 11 | UnitedHealthcare mm fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 12 | WellCare mm fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 13 | Devoted mm fee schedule · outpatient | $876 | $876 | — | — | — | $876 – $876 |
| 14 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | Molina star km percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Humana choicecare fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 21 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 24 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
Last updated: Jan 13, 2026
See Technetium-99m arcitumomab diagnostic imaging dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.