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 A9503 MED: TECHNETIUM TC-99M MEDRONATE, DX, PER STUDY DOSE, UP TO 30 MCI
Beaumont, TX
See all hospitals reporting HCPCS A9503 →Price type
CHRISTUS West Beaumont’s median price of $170 is 88% above the median hospital's median price ($90), higher than 75% of the 2,017 hospitals reporting HCPCS A9503. 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 | Humana choicecare fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 3 | UnitedHealthcare all payer fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 4 | UnitedHealthcare hix fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Bcbs Tx heb fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 9 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $83 | $83 | $26 | 32% | — | $57 – $109 |
| 10 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $83 | $83 | $26 | 32% | — | $57 – $109 |
| 11 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $83 | $83 | $26 | 32% | — | $57 – $109 |
| 12 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $83 | $83 | $26 | 32% | — | $57 – $109 |
| 13 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $199 | $199 | $63 | 32% | — | $136 – $262 |
| 14 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $232 | $232 | $74 | 32% | — | $158 – $306 |
| 15 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $79 | 32% | — | $170 – $327 |
| 16 | Molina star km percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $79 | 32% | — | $170 – $327 |
| 17 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $79 | 32% | — | $170 – $327 |
| 18 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $79 | 32% | — | $170 – $327 |
| 19 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $323 | $323 | $103 | 32% | — | $220 – $426 |
| 20 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $373 | $373 | $118 | 32% | — | $254 – $491 |
| 21 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $414 | $414 | $132 | 32% | — | $283 – $546 |
| 22 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $497 | $497 | $158 | 32% | — | $339 – $655 |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $538 | $538 | $171 | 32% | — | $367 – $709 |
| 24 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $580 | $580 | $184 | 32% | — | $396 – $764 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $580 | $580 | $184 | 32% | — | $396 – $764 |
Last updated: Jan 13, 2026
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