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
HC TECHNETIUM TC-99 MAA, DX, PER STUDY DOSE, UP TO 10 MCI
ST, LA
See all hospitals reporting HCPCS A9540 →Price type
Kaplan General Hospital, Inc’s median price of $99 is 34% below the median hospital's median price ($150), higher than 39% of the 2,028 hospitals reporting HCPCS A9540. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 11 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 | Bcbs La all payor fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Bcbs La all payor other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 3 | Optum all payor other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 4 | WellCare all payor other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 6 | Aetna all payor other · outpatient | $119 | $119 | $20 | 17% | — | $99 – $139 |
| 7 | Humana all payor other · outpatient | $136 | $136 | $36 | 27% | — | $99 – $172 |
| 8 | UnitedHealthcare all payor other · outpatient | $136 | $136 | $36 | 27% | — | $99 – $172 |
| 9 | Cigna all payor other · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 10 | Aetna Better Health all payor other · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 11 | Amerihealth Caritas all payor other · outpatient | $172 | $172 | — | — | — | $172 – $172 |
Last updated: Apr 1, 2026
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