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
Technetium tc-99m teboroxime
Maple Grove, MN
See all hospitals reporting HCPCS A9501 →Price type
Fairview Maple Grove Surgery Center’s median price of $124 is 19% below the median hospital's median price ($153), higher than 45% of the 192 hospitals reporting HCPCS A9501. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 5 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 federal fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $124 | $124 | — | — | — | $124 – $124 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
Last updated: May 18, 2026
See Technetium Tc-99m teboroxime imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.