Technetium-99m medronate bone scan agent 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

TC99M - MDP 25 MCI

Teaneck, NJ

See all hospitals reporting HCPCS A9503 →

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $78 is 13% below the median hospital's median price ($89), higher than 45% of the 1,992 hospitals reporting HCPCS A9503. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9503 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	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	$5	18%	—	$25 – $36
4	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	$6	18%	—	$26 – $38
5	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	$6	18%	—	$28 – $41
6	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$42	$42	$8	18%	—	$34 – $50
7	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$47	$47	$9	18%	—	$39 – $56
8	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	$11	18%	—	$50 – $72
9	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$12	18%	—	$53 – $76
10	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$68	$68	$12	18%	—	$56 – $81
11	Optum all products facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
12	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$95	$95	$17	18%	—	$78 – $112
13	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	$22	18%	—	$101 – $146
14	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$161	$161	$29	18%	—	$133 – $190
15	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$171	$171	$31	18%	—	$140 – $202
16	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$32	18%	—	$145 – $208
17	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$32	18%	—	$145 – $208
18	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	$32	18%	—	$145 – $208

Last updated: Nov 10, 2025

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