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
Macon, GA
See all hospitals reporting HCPCS A9502 →Price type
Piedmont Macon North’s median price of $129 is 39% below the median hospital's median price ($211), higher than 24% of the 1,702 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: 8 payers, 10 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 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Anthem anthem pathway fee schedule · both | $99 | $99 | — | — | — | $99 – $99 |
| 3 | Blue Cross Blue Shield blue cross hmo fee schedule · both | $99 | $99 | — | — | — | $99 – $99 |
| 4 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Phcs phcs percent of total billed charges · bothfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 6 | First Health first health percent of total billed charges · bothfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 7 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $166 | $166 | — | — | — | $166 – $166 |
| 8 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 9 | UnitedHealthcare united healthcare fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 10 | 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.