Technetium-99m disofenin diagnostic imaging agent at Dignity Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DISOFENIN DX UP TO 15MCI

Carmichael, CA

See all hospitals reporting HCPCS A9510 →

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Pricing by billing methodology

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How this price compares nationally

Dignity Health’s median price of $106 is 10% below the median hospital's median price ($118), higher than 45% of the 1,234 hospitals reporting HCPCS A9510. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9510 at Dignity Health

Negotiated rates from the hospital’s own file: 7 payers, 19 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 medicaid\|< 21 fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
2	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
3	Molina medicaid\|all plans fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
4	Anthem medicaid\|all plans fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
5	Anthem commercial\|connection epo fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
6	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
7	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
8	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
9	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
10	Anthem commercial\|all other plans fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
11	Kaiser medicaid\|all plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
12	Anthem commercial\|mcs fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
13	Cigna commercial\|localplus fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
14	Kaiser commercial\|all plans fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
15	Cigna commercial\|all other plans fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
16	First Health commercial\|all plans fee schedule · inpatient	$256	$256	—	—	—	$256 – $256
17	First Health commercial\|all plans fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
18	MultiPlan commercial\|all plans fee schedule · inpatient	$283	$283	—	—	—	$283 – $283
19	MultiPlan commercial\|all plans fee schedule · outpatient	$283	$283	—	—	—	$283 – $283

Last updated: Feb 28, 2026

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See Technetium-99m disofenin diagnostic imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.