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 THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION
Augusta, GA
See all hospitals reporting HCPCS A9502 →Price type
Piedmont Augusta’s median price of $91 is 57% below the median hospital's median price ($211), higher than 7% of the 1,695 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 13 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 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $34 | $34 | — | — | 21–30 | $34 – $34 |
| 2 | Caresource caresource medicaid percent of total billed charges · bothfrom % of charges | $49 | $49 | — | — | 2–20 | $49 – $49 |
| 3 | Medcost medcost percent of total billed charges · bothfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 4 | Blue Cross Blue Shield blue cross hmo fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 5 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 6 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 7 | Phcs phcs percent of total billed charges · bothfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 8 | Anthem anthem pathway fee schedule · both | $99 | $99 | — | — | — | $99 – $99 |
| 9 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 10 | First Health first health percent of total billed charges · bothfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 11 | Blue Cross Blue Shield blue cross south carolina fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 12 | UnitedHealthcare united healthcare fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 13 | UnitedHealthcare united healthcare exchange fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
Last updated: Jul 1, 2026
See Technetium-99m tetrofosmin imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.