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 auto wbc
Summit, NJ
See all hospitals reporting HCPCS A9569 →Price type
Overlook Medical Center’s median price of $1.0k is 39% below the median hospital's median price ($1.7k), higher than 17% of the 1,618 hospitals reporting HCPCS A9569. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 47 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 | Aetna omc aetna whole health fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 2 | Aetna omc aetna fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 3 | UnitedHealthcare united tertiary fee schedule · outpatient | $616 | $616 | — | — | — | $616 – $616 |
| 4 | Aetna omc aetna ahs employee other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Aetna omc aetna ahs employee other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Aetna omc aetna medicare fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Aetna omc aetna medicare fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Aetna omc aetna nnj prime other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Aetna omc aetna nnj prime other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Ambetter omc ambetter wellcare of nj other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Ambetter omc ambetter wellcare of nj other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Anthem omc horizon braven other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Anthem omc horizon braven other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Blue Cross Blue Shield omc horizon braven other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Blue Cross Blue Shield omc horizon braven other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Cigna omc cigna medicare fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Cigna omc cigna medicare fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | Highmark omc highmark wholecare / gateway health plan inc other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Highmark omc highmark wholecare / gateway health plan inc other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | Highmark omc horizon braven other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Highmark omc horizon braven other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Tricare omc tricare contract other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | Tricare omc tricare contract other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | Tricare omc tricare-east (humana military) other · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Tricare omc tricare-east (humana military) other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Apr 1, 2026
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