Technetium-99m pentetate diagnostic imaging agent at Overlook Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Tc99m pentetate

Summit, NJ

See all hospitals reporting HCPCS A9539 →

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Pricing by billing methodology

Price type

How this price compares nationally

Overlook Medical Center’s median price of $625 is 417% above the median hospital's median price ($121), higher than 92% of the 1,794 hospitals reporting HCPCS A9539. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9539 at Overlook Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 32 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	Anthem omc medicaid percent of total billed charges · bothfrom % of charges	$161	$161	—	—	—	$161 – $161
2	Medicaid omc medicaid percent of total billed charges · bothfrom % of charges	$161	$161	—	—	—	$161 – $161
3	Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges	$193	$193	—	—	—	$193 – $193
4	Aetna omc aetna whole health fee schedule · outpatient	$310	$310	—	—	—	$310 – $310
5	Humana omc qualcare percent of total billed charges · bothfrom % of charges	$326	$326	—	—	—	$326 – $326
6	Oscar omc qualcare percent of total billed charges · bothfrom % of charges	$326	$326	—	—	—	$326 – $326
7	Aetna omc aetna fee schedule · outpatient	$398	$398	—	—	—	$398 – $398
8	UnitedHealthcare oxford tertiary percent of total billed charges · bothfrom % of charges	$415	$415	—	—	—	$415 – $415
9	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$512	$512	—	—	—	$512 – $512
10	Phcs phcs primary network percent of total billed charges · bothfrom % of charges	$512	$512	—	—	—	$512 – $512
11	Blue Cross Blue Shield omc horizon omnia percent of total billed charges · bothfrom % of charges	$593	$593	—	—	—	$593 – $593
12	First Health first health percent of total billed charges · bothfrom % of charges	$605	$605	—	—	—	$605 – $605
13	Aetna omc aetna ahs employee other · outpatient	$625	$625	—	—	—	$625 – $625
14	Aetna omc aetna medicare fee schedule · outpatient	$625	$625	—	—	—	$625 – $625
15	Aetna omc aetna nnj prime other · outpatient	$625	$625	—	—	—	$625 – $625
16	Ambetter omc ambetter wellcare of nj other · outpatient	$625	$625	—	—	—	$625 – $625
17	Anthem omc horizon braven other · outpatient	$625	$625	—	—	—	$625 – $625
18	Blue Cross Blue Shield omc horizon braven other · outpatient	$625	$625	—	—	—	$625 – $625
19	Cigna omc cigna medicare fee schedule · outpatient	$625	$625	—	—	—	$625 – $625
20	Highmark omc highmark wholecare / gateway health plan inc other · outpatient	$625	$625	—	—	—	$625 – $625
21	Highmark omc horizon braven other · outpatient	$625	$625	—	—	—	$625 – $625
22	Tricare omc tricare contract other · outpatient	$625	$625	—	—	—	$625 – $625
23	Tricare omc tricare-east (humana military) other · outpatient	$625	$625	—	—	—	$625 – $625
24	WellCare omc wellcare phw other · outpatient	$625	$625	—	—	—	$625 – $625
25	WellCare omc wellcare/fedelis medicare other · outpatient	$625	$625	—	—	—	$625 – $625

Page 1 of 2 · 32 rates

Last updated: Apr 1, 2026

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