Xenon-133 gas for diagnostic imaging at Longs Peak Hospital

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

HB RADIANT-XENON XE 133 PER 10 MCI

Longmont, CO

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Pricing by billing methodology

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How this price compares nationally

Longs Peak Hospital’s median price of $166 is 46% below the median hospital's median price ($309), higher than 19% of the 1,455 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9558 at Longs Peak Hospital

Negotiated rates from the hospital’s own file: 6 payers, 15 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	Anthem commercial percent of total billed charges · inpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
2	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
3	Cigna colorado rockies percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
4	First Health commercial percent of total billed charges · inpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
5	First Health commercial percent of total billed charges · outpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
6	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
7	Cigna local plus/surefit/connect percent of total billed charges · outpatientfrom % of charges	$164	$164	—	—	—	$164 – $164
8	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
9	Phcs commercial percent of total billed charges · outpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
10	Cigna broad networks percent of total billed charges · outpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
11	Anthem ppo fee schedule · outpatient	$444	$444	—	—	—	$444 – $444
12	Anthem hmo/ppo fee schedule · outpatient	$450	$450	$57	13%	—	$393 – $508
13	Anthem commercial fee schedule · outpatient	$439	$756	$604	80%	—	$347 – $1.8k
14	UnitedHealthcare select rates fee schedule · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
15	UnitedHealthcare broad networks fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k

Last updated: Nov 1, 2025

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