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 EXAMETAZIME, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES
Glendale, CA
See all hospitals reporting HCPCS A9521 →Price type
Glendale Adventist Medical Center’s median price of $2.6k is 52% above the median hospital's median price ($1.7k), higher than 70% of the 1,737 hospitals reporting HCPCS A9521. 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 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 7 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 11 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 12 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 13 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 14 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 15 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 16 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 17 | Medicaid medi-cal fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | Molina molina mcal fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 19 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
Last updated: Jul 30, 2026
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