Technetium-99m disofenin diagnostic imaging agent at Glendale Adventist Medical Center

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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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TECHNETIUM TC-99M DISOFENIN, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES

Glendale, CA

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How this price compares nationally

Glendale Adventist Medical Center’s median price of $458 is 288% above the median hospital's median price ($118), higher than 95% of the 1,239 hospitals reporting HCPCS A9510. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9510 at Glendale Adventist Medical Center

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	$119	$119	—	—	—	$119 – $119
2	Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
3	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
4	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$306	$306	—	—	—	$306 – $306
5	UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges	$320	$320	—	—	—	$320 – $320
6	UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
7	UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
8	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
9	Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges	$379	$379	—	—	—	$379 – $379
10	Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges	$379	$379	—	—	—	$379 – $379
11	Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges	$395	$395	—	—	—	$395 – $395
12	Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges	$395	$395	—	—	—	$395 – $395
13	First Health first health- all plans percent of total billed charges · outpatientfrom % of charges	$483	$483	—	—	—	$483 – $483
14	Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges	$541	$541	—	—	—	$541 – $541
15	Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges	$566	$566	—	—	—	$566 – $566
16	Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges	$707	$707	—	—	—	$707 – $707
17	Medicaid medi-cal fee schedule · outpatient	$832	$832	—	—	—	$832 – $832
18	Molina molina mcal fee schedule · outpatient	$832	$832	—	—	—	$832 – $832
19	Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k

Last updated: Jul 30, 2026

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