Technetium-99m pentetate diagnostic imaging 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

TC-99M-DTPA

Teaneck, NJ

See all hospitals reporting HCPCS A9539 →

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $211 is 76% above the median hospital's median price ($120), higher than 70% of the 1,773 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 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	$35	$35	—	—	—	$35 – $35
4	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
5	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
6	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
7	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
8	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
9	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
10	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
11	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$181	$181	—	—	—	$181 – $181
12	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$251	$251	—	—	—	$251 – $251
13	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$326	$326	—	—	—	$326 – $326
14	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$427	$427	—	—	—	$427 – $427
15	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$452	$452	—	—	—	$452 – $452
16	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$465	$465	—	—	—	$465 – $465
17	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$465	$465	—	—	—	$465 – $465
18	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$465	$465	—	—	—	$465 – $465

Last updated: Nov 10, 2025

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