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
TECHNETIUM TC-99M PENTETATE, DIAGNOSTIC, AEROSOL, PER STUDY DOSE, UP TO 75 MILLICURIES
Spearfish, SD
See all hospitals reporting HCPCS A9567 →Price type
Monument Health Network Inc’s median price of $1.3k is 942% above the median hospital's median price ($128), higher than 97% of the 1,475 hospitals reporting HCPCS A9567. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | UnitedHealthcare uhc - all other plans fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 2 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 3 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $600 | $600 | — | — | — | $600 – $600 |
| 4 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | Wellmark bcbs wellmark mcr adv other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Sep 1, 2026
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