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 PENTETATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES
Glendale, CA
See all hospitals reporting HCPCS A9539 →Price type
Glendale Adventist Medical Center’s median price of $373 is 209% above the median hospital's median price ($121), higher than 85% of the 1,794 hospitals reporting HCPCS A9539. 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 | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $250 | $250 | — | — | — | $250 – $250 |
| 5 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $261 | $261 | — | — | — | $261 – $261 |
| 6 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 7 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 8 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $288 | $288 | — | — | — | $288 – $288 |
| 9 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 10 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 11 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $323 | $323 | — | — | — | $323 – $323 |
| 12 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $323 | $323 | — | — | — | $323 – $323 |
| 13 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $394 | $394 | — | — | — | $394 – $394 |
| 14 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 15 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 16 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $577 | $577 | — | — | — | $577 – $577 |
| 17 | Medicaid medi-cal fee schedule · outpatient | $679 | $679 | — | — | — | $679 – $679 |
| 18 | Molina molina mcal fee schedule · outpatient | $679 | $679 | — | — | — | $679 – $679 |
| 19 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Jul 30, 2026
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