Fludeoxyglucose F-18 diagnostic radiopharmaceutical, 45 millicuries 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

FDG, PER DOSE(4-40 MCI/ML)

Teaneck, NJ

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How this price compares nationally

Holy Name’s median price of $356 is 46% below the median hospital's median price ($662), higher than 19% of the 1,734 hospitals reporting HCPCS A9552. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9552 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	$135	$135	—	—	—	$135 – $135
4	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
5	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
6	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$187	$187	—	—	—	$187 – $187
7	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
8	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	—	—	—	$273 – $273
9	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$288	$288	—	—	—	$288 – $288
10	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$305	$305	—	—	—	$305 – $305
11	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$424	$424	—	—	—	$424 – $424
12	Optum all products facility · fee schedule · outpatient	$551	$551	—	—	—	$551 – $551
13	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$551	$551	—	—	—	$551 – $551
14	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$721	$721	—	—	—	$721 – $721
15	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$763	$763	—	—	—	$763 – $763
16	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$786	$786	—	—	—	$786 – $786
17	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$786	$786	—	—	—	$786 – $786
18	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$786	$786	—	—	—	$786 – $786

Last updated: Nov 10, 2025

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