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 FOR PREPARATION OF TC 99M-ALBUMIN 2.5 MG INTRAVENOUS SOLUTION
Utica, NY
See all hospitals reporting HCPCS A9540 →Price type
MVHS, Inc.’s median price of $2.7k is 1699% above the median hospital's median price ($150), higher than 100% of the 2,028 hospitals reporting HCPCS A9540. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc empire plan fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 7 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 9 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 10 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
Last updated: Aug 7, 2026
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