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 SESTAMIBI, DIAGNOSTIC, PER STUDY DOSE
Glendale, CA
See all hospitals reporting HCPCS A9500 →Price type
Glendale Adventist Medical Center’s median price of $1.1k is 297% above the median hospital's median price ($275), higher than 94% of the 2,095 hospitals reporting HCPCS A9500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $282 | $282 | — | — | — | $282 – $282 |
| 3 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $339 | $339 | — | — | — | $339 – $339 |
| 4 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $728 | $728 | $54 | 7% | 11 | $674 – $781 |
| 5 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $761 | $761 | $56 | 7% | 2–20 | $705 – $817 |
| 6 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $801 | $801 | $59 | 7% | 2–20 | $742 – $860 |
| 7 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $801 | $801 | $59 | 7% | 2–20 | $742 – $860 |
| 8 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $838 | $838 | $62 | 7% | 11 | $777 – $900 |
| 9 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $900 | $900 | $66 | 7% | — | $834 – $966 |
| 10 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $900 | $900 | $66 | 7% | — | $834 – $966 |
| 11 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $939 | $939 | $69 | 7% | — | $870 – $1.0k |
| 12 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $939 | $939 | $69 | 7% | — | $870 – $1.0k |
| 13 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $84 | 7% | — | $1.1k – $1.2k |
| 14 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $95 | 7% | — | $1.2k – $1.4k |
| 15 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $99 | 7% | 2–20 | $1.2k – $1.4k |
| 16 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $124 | 7% | 2–20 | $1.6k – $1.8k |
| 17 | Medicaid medi-cal fee schedule · outpatient | $2.0k | $2.0k | $146 | 7% | — | $1.8k – $2.1k |
| 18 | Molina molina mcal fee schedule · outpatient | $2.0k | $2.0k | $146 | 7% | — | $1.8k – $2.1k |
| 19 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $4.9k | $4.9k | $364 | 7% | — | $4.6k – $5.3k |
Last updated: Jul 30, 2026
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