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-EXAMETAZIME INTRAVENOUS KIT (WBC IMAGING)
Macon, GA
See all hospitals reporting HCPCS A9569 →Price type
Piedmont Macon’s median price of $3.3k is 92% above the median hospital's median price ($1.7k), higher than 82% 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: 9 payers, 12 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 | Caresource caresource medicaid percent of total billed charges · bothfrom % of charges | $523 | $523 | — | — | — | $523 – $523 |
| 2 | Blue Cross Blue Shield blue cross hmo fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | UnitedHealthcare united healthcare fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | UnitedHealthcare united healthcare exchange fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Anthem anthem pathway fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Phcs phcs percent of total billed charges · bothfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 8 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 9 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 10 | First Health first health percent of total billed charges · bothfrom % of charges | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 11 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 12 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
Last updated: Jul 1, 2026
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