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-99M PENTETATE (DTPA), DX, AEROSOL, PER STUDY DOSE, UP TO 75 MCI
ST, LA
See all hospitals reporting HCPCS A9567 →Price type
Kaplan General Hospital, Inc’s median price of $75 is 42% below the median hospital's median price ($128), higher than 38% of the 1,475 hospitals reporting HCPCS A9567. 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 other · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Optum all payor other · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 3 | WellCare all payor other · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Bcbs La all payor percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 5 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 6 | Aetna all payor other · outpatient | $81 | $81 | $13 | 17% | — | $68 – $94 |
| 7 | Humana all payor other · outpatient | $92 | $92 | $25 | 27% | — | $68 – $117 |
| 8 | UnitedHealthcare all payor other · outpatient | $92 | $92 | $25 | 27% | — | $68 – $117 |
| 9 | Cigna all payor other · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 10 | Aetna Better Health all payor other · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 11 | Amerihealth Caritas all payor other · outpatient | $117 | $117 | — | — | — | $117 – $117 |
Last updated: Apr 1, 2026
See Technetium-99m pentetate aerosol for lung scan pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.