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
XE-133 XENON GAS PER 10 MCI
Columbus, OH
See all hospitals reporting HCPCS A9558 →Price type
Mount Carmel East’s median price of $131 is 58% below the median hospital's median price ($309), higher than 15% of the 1,449 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: 12 payers, 18 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 | $126 | $126 | — | — | — | $126 – $126 |
| 2 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $131 | $131 | — | — | — | $131 – $131 |
| 3 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 4 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 5 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 6 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 7 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 8 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 9 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 10 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 11 | Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 12 | Medical Mutual medical mutual ohio health traditional facility · percent of total billed charges · bothfrom % of charges | $214 | $214 | — | — | — | $214 – $214 |
| 13 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $224 | $224 | — | — | — | $224 – $224 |
| 14 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $224 | $224 | — | — | — | $224 – $224 |
| 15 | Aetna aetnaio health facility · percent of total billed charges · bothfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 16 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 17 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 18 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
Last updated: Mar 31, 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.