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, AEROSOL, PER STUDY DOSE, UP TO 75 MILLICURIES
Glendale, CA
See all hospitals reporting HCPCS A9567 →Price type
Glendale Adventist Medical Center’s median price of $1.3k is 926% above the median hospital's median price ($128), higher than 97% of the 1,475 hospitals reporting HCPCS A9567. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $889 | $889 | — | — | — | $889 – $889 |
| 2 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $930 | $930 | — | — | — | $930 – $930 |
| 3 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $978 | $978 | — | — | — | $978 – $978 |
| 4 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $978 | $978 | — | — | — | $978 – $978 |
| 5 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | Medicaid medi-cal fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Molina molina mcal fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
Last updated: Jul 30, 2026
See Technetium-99m pentetate aerosol for lung scan pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.