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 DIAG PER DOSE
Dublin, OH
See all hospitals reporting HCPCS A4641 →Price type
Mount Carmel Dublin’s median price of $161 is 55% below the median hospital's median price ($357), higher than 27% of the 578 hospitals reporting HCPCS A4641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 15 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 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 2 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 3 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 4 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 5 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 6 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 7 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 8 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 9 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 10 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 11 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $276 | $276 | — | — | — | $276 – $276 |
| 12 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $276 | $276 | — | — | — | $276 – $276 |
| 13 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $345 | $345 | — | — | — | $345 – $345 |
| 14 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $345 | $345 | — | — | — | $345 – $345 |
| 15 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $345 | $345 | — | — | — | $345 – $345 |
Last updated: Mar 31, 2026
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