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
XE-133 XENON GAS PER 10 MCI
Silver Spring, MD
See all hospitals reporting HCPCS A9558 →Price type
Holy Cross Hospital-Silver Spring’s median price of $494 is 60% above the median hospital's median price ($309), higher than 72% of the 1,445 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $445 | $445 | — | — | — | $445 – $445 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $455 | $455 | — | — | — | $455 – $455 |
| 3 | Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges | $455 | $455 | — | — | — | $455 – $455 |
| 4 | Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges | $455 | $455 | — | — | — | $455 – $455 |
| 5 | Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 6 | UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 7 | Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges | $463 | $463 | — | — | — | $463 – $463 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $465 | $465 | — | — | — | $465 – $465 |
| 9 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $468 | $468 | — | — | — | $468 – $468 |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 12 | Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 13 | Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 14 | Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 16 | Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 17 | Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 18 | Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 19 | Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 20 | Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 21 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 22 | Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 23 | Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges | $499 | $499 | — | — | — | $499 – $499 |
| 24 | Humana humana facility · percent of total billed charges · bothfrom % of charges | $499 | $499 | — | — | — | $499 – $499 |
| 25 | Humana humana military facility · percent of total billed charges · bothfrom % of charges | $499 | $499 | — | — | — | $499 – $499 |
Last updated: Mar 31, 2026
See Xenon-133 gas for diagnostic imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.