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
NM XE 133 XENON GAS-10MCI
Roseburg, OR
See all hospitals reporting HCPCS A9558 →Price type
Commonspirit Oregon’s median price of $262 is 15% below the median hospital's median price ($309), higher than 39% of the 1,455 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 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 | Cigna commercial|all plans fee schedule · outpatient | $242 | $242 | — | — | — | $242 – $242 |
| 2 | Cigna commercial|all plans fee schedule · inpatient | $251 | $251 | — | — | — | $251 – $251 |
| 3 | Premera commercial|all plans fee schedule · inpatient | $251 | $251 | — | — | — | $251 – $251 |
| 4 | Aetna commercial|all plans fee schedule · inpatient | $258 | $258 | — | — | — | $258 – $258 |
| 5 | Premera commercial|all plans fee schedule · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 6 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $274 | $274 | — | — | — | $274 – $274 |
| 7 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 8 | Aetna commercial|all plans fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
Last updated: Feb 28, 2026
See Xenon-133 gas for diagnostic imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.