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-SODIUM OXIDRONATE 3.15 MG IV SOLUTION
Utica, NY
See all hospitals reporting HCPCS A9561 →Price type
MVHS, Inc.’s median price of $347 is 277% above the median hospital's median price ($92), higher than 94% of the 1,548 hospitals reporting HCPCS A9561. 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 | $53 | $53 | — | — | — | $53 – $53 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $289 | $289 | — | — | — | $289 – $289 |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 7 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $364 | $364 | — | — | — | $364 – $364 |
| 8 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $485 | $485 | — | — | — | $485 – $485 |
| 9 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $485 | $485 | — | — | — | $485 – $485 |
| 10 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $485 | $485 | — | — | — | $485 – $485 |
Last updated: Aug 7, 2026
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