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 EXAMETAZIME (WBC)
Utica, NY
See all hospitals reporting HCPCS A9521 →Price type
MVHS, Inc.’s median price of $13.7k is 681% above the median hospital's median price ($1.7k), higher than 100% of the 1,737 hospitals reporting HCPCS A9521. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 13 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 | Humana humana military other · both | $762 | $762 | — | — | — | $762 – $762 |
| 2 | Tricare humana military other · both | $762 | $762 | — | — | — | $762 – $762 |
| 3 | UnitedHealthcare uhc empire plan fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 5 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 6 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 7 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 8 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 9 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 10 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $15.0k | $15.0k | — | — | — | $15.0k – $15.0k |
| 11 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $20.0k | $20.0k | — | — | — | $20.0k – $20.0k |
| 12 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $20.0k | $20.0k | — | — | — | $20.0k – $20.0k |
| 13 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $20.0k | $20.0k | — | — | — | $20.0k – $20.0k |
Last updated: Aug 7, 2026
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