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
TC99M TETROFOSMIN DXDOSE
Argyle, TX
See all hospitals reporting HCPCS A9502 →Price type
Medical City Argyle’s median price of $193 is 9% below the median hospital's median price ($211), higher than 45% of the 1,702 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 37 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 7 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 9 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 10 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 11 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 12 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 13 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 14 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 15 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 16 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 17 | UnitedHealthcare smallgroup fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 18 | MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 19 | Aetna qhphix fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 20 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 21 | Aetna newbusiness fee schedule · outpatient | $287 | $287 | — | — | — | $287 – $287 |
| 22 | Aetna comm fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 23 | Aetna meritain fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 24 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
| 25 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
Last updated: Mar 1, 2026
See Technetium-99m tetrofosmin imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.