Technetium-99m sestamibi imaging dose at Mayo Clinic

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.

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Provider: anthropic
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Generated: October 20, 2026

Original text from hospital filings

KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION

Rochester, MN

See all hospitals reporting HCPCS A9500 →

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How this price compares nationally

Mayo Clinic’s median price of $141 is 49% below the median hospital's median price ($275), higher than 23% of the 2,095 hospitals reporting HCPCS A9500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9500 at Mayo Clinic

Negotiated rates from the hospital’s own file: 18 payers, 64 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	Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$70	$70	$40	57%	—	$30 – $110
2	Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges	$70	$70	$40	57%	—	$30 – $110
3	Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges	$70	$70	$40	57%	1–10	$30 – $110
4	Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$70	$70	$40	57%	—	$30 – $110
5	Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$70	$70	$40	57%	—	$30 – $110
6	Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges	$70	$70	$40	57%	—	$30 – $110
7	UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$70	$70	$40	57%	—	$30 – $110
8	Healthpartners healthpartners medicare advantage plan part b [610] facility · percent of total billed charges · bothfrom % of charges	$145	$145	—	—	—	$145 – $145
9	Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges	$165	$165	$94	57%	1–10	$71 – $259
10	Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges	$170	$170	$97	57%	—	$73 – $268
11	Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges	$170	$170	$97	57%	—	$73 – $268
12	Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges	$206	$206	$118	57%	—	$88 – $324
13	Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both	$208	$208	—	—	—	$208 – $208
14	Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges	$297	$297	$170	57%	1–10	$128 – $467
15	Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges	$297	$297	$170	57%	1–10	$128 – $467
16	Blue Cross Blue Shield blue cross blue shield fep [874] facility · percent of total billed charges · bothfrom % of charges	$299	$299	$171	57%	2–20	$128 – $469
17	Anthem blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$304	$304	$174	57%	—	$131 – $478
18	Blue Cross Blue Shield blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$304	$304	$174	57%	110	$131 – $478
19	Blue Cross Blue Shield complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges	$304	$304	$174	57%	—	$131 – $478
20	Blue Cross Blue Shield transplant bcbs [1140] facility · percent of total billed charges · bothfrom % of charges	$304	$304	$174	57%	1–10	$131 – $478
21	Healthpartners complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges	$304	$304	$174	57%	—	$131 – $478
22	Medica az medica non mayo employees group [754] facility · percent of total billed charges · bothfrom % of charges	$304	$304	$174	57%	1–10	$131 – $478
23	Medica by plan [76] facility · percent of total billed charges · bothfrom % of charges	$304	$304	$174	57%	—	$131 – $478
24	Medica deanhp by medica west mc hmo 90 pct [1349] facility · percent of total billed charges · bothfrom % of charges	$304	$304	$174	57%	—	$131 – $478
25	Healthpartners transplant [692] facility · percent of total billed charges · bothfrom % of charges	$308	$308	$176	57%	1–10	$132 – $483

Page 1 of 3 · 64 rates

Last updated: Aug 14, 2026

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