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
KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION
Utica, NY
See all hospitals reporting HCPCS A9500 →Price type
MVHS, Inc.’s median price of $198 is 28% below the median hospital's median price ($275), higher than 38% of the 2,095 hospitals reporting HCPCS A9500. 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, 10 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc empire plan fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $189 | $189 | — | — | 1–10 | $189 – $189 |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $189 | $189 | — | — | 11 | $189 – $189 |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 7 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 8 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 9 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 10 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
Last updated: Aug 7, 2026
See Technetium-99m sestamibi imaging dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.