Technetium-99m pentetate diagnostic imaging agent at Holy Cross Hospital-Silver Spring

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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Generated: October 20, 2026

Original text from hospital filings

TC-99M PENTETATE DTPA

Silver Spring, MD

See all hospitals reporting HCPCS A9539 →

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Pricing by billing methodology

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $661 is 449% above the median hospital's median price ($121), higher than 93% of the 1,780 hospitals reporting HCPCS A9539. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9539 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 15 payers, 26 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	Cigna cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges	$596	$596	—	—	—	$596 – $596
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$609	$609	—	—	—	$609 – $609
3	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$609	$609	—	—	—	$609 – $609
4	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$609	$609	—	—	—	$609 – $609
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$614	$614	—	—	—	$614 – $614
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$614	$614	—	—	—	$614 – $614
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$620	$620	—	—	—	$620 – $620
8	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$623	$623	—	—	—	$623 – $623
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$636	$636	—	—	—	$636 – $636
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$661	$661	—	—	—	$661 – $661
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$668	$668	—	—	—	$668 – $668
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$668	$668	—	—	—	$668 – $668
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$668	$668	—	—	—	$668 – $668

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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