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
NM Xenon Xe-133 Gas per 10mci
Smith, AR
See all hospitals reporting HCPCS A9558 →Price type
Mercy Hospital Fort Smith’s median price of $130 is 58% below the median hospital's median price ($309), higher than 14% of the 1,455 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 8 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 | Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 2 | Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 5 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $184 | $184 | — | — | — | $184 – $184 |
| 6 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 7 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 8 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
Last updated: Jun 8, 2026
See Xenon-133 gas for diagnostic imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.