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
TC-99M TETROFOSMIN P STUDY DOSE
Muskegon, MI
See all hospitals reporting HCPCS A9502 →Price type
Mercy Health Hackley Campus’s median price of $156 is 26% below the median hospital's median price ($211), higher than 35% 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: 19 payers, 20 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 4 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 5 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 6 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 7 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 8 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 9 | First Health first health ppo facility · percent of total billed charges · bothfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 10 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 11 | Anthem bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 12 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 13 | Carefirst bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 14 | Excellus bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 15 | Highmark bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 16 | Kaiser bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 17 | Premera bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 18 | Regence bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 19 | Wellmark bcbs trad / trust facility · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 20 | Aetna aetna ppo facility · fee schedule · both | $255 | $255 | — | — | — | $255 – $255 |
Last updated: Mar 31, 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.