Technetium-99m pentetate aerosol for lung scan 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

Technetium tc-99m aerosol

Summit, NJ

See all hospitals reporting HCPCS A9567 →

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Pricing by billing methodology

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How this price compares nationally

Overlook Medical Center’s median price of $625 is 387% above the median hospital's median price ($128), higher than 92% of the 1,475 hospitals reporting HCPCS A9567. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9567 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	$174	$174	—	—	—	$174 – $174
2	Medicaid omc medicaid percent of total billed charges · bothfrom % of charges	$174	$174	—	—	—	$174 – $174
3	Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges	$209	$209	—	—	—	$209 – $209
4	Humana omc qualcare percent of total billed charges · bothfrom % of charges	$353	$353	—	—	—	$353 – $353
5	Oscar omc qualcare percent of total billed charges · bothfrom % of charges	$353	$353	—	—	—	$353 – $353
6	Aetna omc aetna whole health fee schedule · outpatient	$438	$438	—	—	—	$438 – $438
7	UnitedHealthcare oxford tertiary percent of total billed charges · bothfrom % of charges	$450	$450	—	—	—	$450 – $450
8	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$555	$555	—	—	—	$555 – $555
9	Phcs phcs primary network percent of total billed charges · bothfrom % of charges	$555	$555	—	—	—	$555 – $555
10	Aetna omc aetna fee schedule · outpatient	$562	$562	—	—	—	$562 – $562
11	Aetna omc aetna ahs employee other · outpatient	$625	$625	—	—	—	$625 – $625
12	Aetna omc aetna medicare fee schedule · outpatient	$625	$625	—	—	—	$625 – $625
13	Aetna omc aetna nnj prime other · outpatient	$625	$625	—	—	—	$625 – $625
14	Ambetter omc ambetter wellcare of nj other · outpatient	$625	$625	—	—	—	$625 – $625
15	Anthem omc horizon braven other · outpatient	$625	$625	—	—	—	$625 – $625
16	Blue Cross Blue Shield omc horizon braven other · outpatient	$625	$625	—	—	—	$625 – $625
17	Cigna omc cigna medicare fee schedule · outpatient	$625	$625	—	—	—	$625 – $625
18	Highmark omc highmark wholecare / gateway health plan inc other · outpatient	$625	$625	—	—	—	$625 – $625
19	Highmark omc horizon braven other · outpatient	$625	$625	—	—	—	$625 – $625
20	Tricare omc tricare contract other · outpatient	$625	$625	—	—	—	$625 – $625
21	Tricare omc tricare-east (humana military) other · outpatient	$625	$625	—	—	—	$625 – $625
22	WellCare omc wellcare phw other · outpatient	$625	$625	—	—	—	$625 – $625
23	WellCare omc wellcare/fedelis medicare other · outpatient	$625	$625	—	—	—	$625 – $625
24	Amerihealth Caritas omc amerihealth caritas other · outpatient	$631	$631	—	—	—	$631 – $631
25	Blue Cross Blue Shield omc horizon omnia percent of total billed charges · bothfrom % of charges	$642	$642	—	—	—	$642 – $642

Page 1 of 2 · 32 rates

Last updated: Apr 1, 2026

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