Technetium-99m tetrofosmin imaging agent at Mount Carmel Dublin

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TC-99M TETROFOSMIN P STUDY DOSE

Dublin, OH

See all hospitals reporting HCPCS A9502 →

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Pricing by billing methodology

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How this price compares nationally

Mount Carmel Dublin’s median price of $56 is 74% below the median hospital's median price ($211), higher than 2% of the 1,695 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9502 at Mount Carmel Dublin

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	$53	$53	—	—	—	$53 – $53
2	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$56	$56	—	—	—	$56 – $56
3	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
4	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$60	$60	—	—	—	$60 – $60
5	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
6	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
7	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
8	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$66	$66	—	—	—	$66 – $66
9	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$67	$67	—	—	—	$67 – $67
10	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$68	$68	—	—	—	$68 – $68
11	MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$95	$95	—	—	—	$95 – $95
12	Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$95	$95	—	—	—	$95 – $95
13	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$119	$119	—	—	—	$119 – $119
14	Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges	$119	$119	—	—	—	$119 – $119
15	Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges	$119	$119	—	—	—	$119 – $119

Last updated: Mar 31, 2026

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