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
TC-99M DTPA
Ulysses, KS
See all hospitals reporting HCPCS A9539 →Price type
Commonspirit Kansas, Inc.’s median price of $421 is 248% above the median hospital's median price ($121), higher than 87% of the 1,794 hospitals reporting HCPCS A9539. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $412 | $412 | — | — | — | $412 – $412 |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $412 | $412 | — | — | — | $412 – $412 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $429 | $429 | — | — | — | $429 – $429 |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $429 | $429 | — | — | — | $429 – $429 |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $463 | $463 | — | — | — | $463 – $463 |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $463 | $463 | — | — | — | $463 – $463 |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $479 | $479 | — | — | — | $479 – $479 |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $479 | $479 | — | — | — | $479 – $479 |
Last updated: Feb 3, 2026
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