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 PENTETATE DX AEROSOL
Ulysses, KS
See all hospitals reporting HCPCS A9567 →Price type
Commonspirit Kansas, Inc.’s median price of $488 is 281% above the median hospital's median price ($128), higher than 87% of the 1,475 hospitals reporting HCPCS A9567. 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 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 2 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 3 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 4 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 5 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $468 | $468 | — | — | — | $468 – $468 |
| 6 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $468 | $468 | — | — | — | $468 – $468 |
| 7 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $488 | $488 | — | — | — | $488 – $488 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $488 | $488 | — | — | — | $488 – $488 |
| 9 | Bcbs Ks commercial ppo/hmo percent of total billed charges · outpatientfrom % of charges | $498 | $498 | — | — | — | $498 – $498 |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $527 | $527 | — | — | — | $527 – $527 |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $527 | $527 | — | — | — | $527 – $527 |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $545 | $545 | — | — | — | $545 – $545 |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $545 | $545 | — | — | — | $545 – $545 |
Last updated: Feb 3, 2026
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