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
KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION
Rochester, MN
See all hospitals reporting HCPCS A9539 →Price type
Mayo Clinic’s median price of $1.4k is 1068% above the median hospital's median price ($121), higher than 97% of the 1,794 hospitals reporting HCPCS A9539. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $309 | $309 | — | — | — | $309 – $309 |
| 2 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 3 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 4 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 5 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 6 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 7 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 8 | Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges | $724 | $724 | — | — | — | $724 – $724 |
| 9 | Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges | $748 | $748 | — | — | — | $748 – $748 |
| 10 | Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges | $748 | $748 | — | — | — | $748 – $748 |
| 11 | Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges | $905 | $905 | — | — | — | $905 – $905 |
| 12 | Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Blue Cross Blue Shield blue cross blue shield fep [874] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Anthem blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Blue Cross Blue Shield blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Blue Cross Blue Shield complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Blue Cross Blue Shield transplant bcbs [1140] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Healthpartners complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Medica az medica non mayo employees group [754] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Medica by plan [76] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Medica deanhp by medica west mc hmo 90 pct [1349] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | Healthpartners transplant [692] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Optum united healthcare [1041] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | UnitedHealthcare united healthcare [1041] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Aug 14, 2026
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