Technetium Tc-99m tilmanocept injection vial 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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Generated: October 20, 2026

Original text from hospital filings

KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION

Rochester, MN

See all hospitals reporting HCPCS A9520 →

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How this price compares nationally

Mayo Clinic’s median price of $677 is 30% below the median hospital's median price ($961), higher than 29% of the 1,564 hospitals reporting HCPCS A9520. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9520 at Mayo Clinic

Negotiated rates from the hospital’s own file: 18 payers, 60 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	$148	$148	—	—	—	$148 – $148
2	Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
3	Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
4	Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
5	Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
6	Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
7	UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
8	Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges	$348	$348	—	—	—	$348 – $348
9	Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges	$359	$359	—	—	—	$359 – $359
10	Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges	$359	$359	—	—	—	$359 – $359
11	Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges	$435	$435	—	—	—	$435 – $435
12	Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
13	Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
14	Blue Cross Blue Shield blue cross blue shield fep [874] facility · percent of total billed charges · bothfrom % of charges	$630	$630	—	—	—	$630 – $630
15	Anthem blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$641	$641	—	—	—	$641 – $641
16	Blue Cross Blue Shield blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$641	$641	—	—	—	$641 – $641
17	Blue Cross Blue Shield complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges	$641	$641	—	—	—	$641 – $641
18	Blue Cross Blue Shield transplant bcbs [1140] facility · percent of total billed charges · bothfrom % of charges	$641	$641	—	—	—	$641 – $641
19	Healthpartners complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges	$641	$641	—	—	—	$641 – $641
20	Medica az medica non mayo employees group [754] facility · percent of total billed charges · bothfrom % of charges	$641	$641	—	—	—	$641 – $641
21	Medica by plan [76] facility · percent of total billed charges · bothfrom % of charges	$641	$641	—	—	—	$641 – $641
22	Medica deanhp by medica west mc hmo 90 pct [1349] facility · percent of total billed charges · bothfrom % of charges	$641	$641	—	—	—	$641 – $641
23	Healthpartners transplant [692] facility · percent of total billed charges · bothfrom % of charges	$648	$648	—	—	—	$648 – $648
24	Optum united healthcare [1041] facility · percent of total billed charges · bothfrom % of charges	$648	$648	—	—	—	$648 – $648
25	UnitedHealthcare united healthcare [1041] facility · percent of total billed charges · bothfrom % of charges	$648	$648	—	—	—	$648 – $648

Page 1 of 3 · 60 rates

Last updated: Aug 14, 2026

Compare to other hospitals

See Technetium Tc-99m tilmanocept injection vial pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.