Technetium-99m red blood cell labeling kit at Essentia Health Duluth

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.

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Generated: October 20, 2026

Original text from hospital filings

TC99MO4 LABELED RBC'S-ULTRATAG

Duluth, MN

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How this price compares nationally

Essentia Health Duluth’s median price of $197 is 25% below the median hospital's median price ($263), higher than 35% of the 1,935 hospitals reporting HCPCS A9560. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9560 at Essentia Health Duluth

Negotiated rates from the hospital’s own file: 8 payers, 26 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	Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
2	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	$6	6%	—	$91 – $104
3	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$8	6%	—	$109 – $124
4	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	$8	6%	—	$114 – $129
5	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$122	$122	$8	6%	—	$114 – $129
6	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	$8	6%	—	$114 – $129
7	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$126	$126	$8	6%	—	$118 – $134
8	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	$8	6%	—	$118 – $134
9	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$132	$132	$9	6%	—	$124 – $141
10	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$133	$133	$9	6%	—	$124 – $141
11	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$133	$133	$9	6%	—	$124 – $141
12	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$163	$163	$10	6%	—	$152 – $173
13	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$167	$167	$11	6%	—	$156 – $178
14	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$171	$171	$14	8%	—	$152 – $191
15	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$176	$176	$11	6%	—	$165 – $188
16	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$193	$193	$12	6%	—	$181 – $206
17	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$193	$193	$12	6%	—	$181 – $206
18	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$196	$196	$13	6%	—	$184 – $209
19	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	$14	6%	—	$197 – $224
20	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	$14	6%	—	$197 – $224
21	Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	$14	6%	—	$197 – $224
22	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$215	$215	$14	6%	—	$201 – $229
23	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$223	$223	$14	6%	—	$209 – $238
24	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$223	$223	$14	6%	—	$209 – $238
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$250	$250	$16	6%	—	$234 – $266

Page 1 of 2 · 26 rates

Last updated: Jan 1, 2026

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