Technetium-99m sestamibi imaging dose at Holy Name

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TC-99M-SESTAMIBI

Teaneck, NJ

See all hospitals reporting HCPCS A9500 →

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $354 is 29% above the median hospital's median price ($275), higher than 59% of the 2,064 hospitals reporting HCPCS A9500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9500 at Holy Name

Negotiated rates from the hospital’s own file: 8 payers, 18 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	Aetna hmo/pos facility · other · outpatient	$0	$0	—	—	—	$0 – $0
2	Aetna qualified health plans facility · other · outpatient	$0	$0	—	—	—	$0 – $0
3	Optum all products facility · fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
4	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$148	$143	$24	17%	—	$112 – $166
5	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$155	$151	$25	17%	—	$117 – $175
6	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$168	$163	$27	17%	—	$127 – $189
7	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$204	$198	$33	17%	—	$155 – $230
8	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$231	$225	$37	17%	—	$175 – $261
9	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$298	$289	$48	17%	—	$225 – $336
10	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$315	$305	$51	17%	—	$238 – $354
11	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$333	$323	$54	17%	—	$252 – $375
12	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$463	$449	$74	17%	—	$350 – $521
13	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$601	$584	$97	17%	—	$455 – $677
14	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$786	$763	$127	17%	—	$595 – $886
15	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$833	$808	$134	17%	—	$630 – $938
16	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$858	$833	$138	17%	—	$649 – $966
17	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$858	$833	$138	17%	—	$649 – $966
18	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$858	$833	$138	17%	—	$649 – $966

Last updated: Nov 10, 2025

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