Technetium-99m tetrofosmin imaging agent at Samaritan Hospital

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TC-99M TETROFOSMIN P STUDY DOSE

Troy, NY

See all hospitals reporting HCPCS A9502 →

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $65 is 69% below the median hospital's median price ($211), higher than 3% of the 1,702 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9502 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 14 payers, 22 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	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$48	$48	—	—	—	$48 – $48
2	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$48	$48	—	—	—	$48 – $48
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
15	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$83	$83	—	—	—	$83 – $83
16	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$83	$83	—	—	—	$83 – $83
17	First Health first health facility · percent of total billed charges · bothfrom % of charges	$95	$95	—	—	—	$95 – $95
18	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
19	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$107	$107	—	—	—	$107 – $107
20	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$107	$107	—	—	—	$107 – $107
21	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$107	$107	—	—	—	$107 – $107
22	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$119	$119	—	—	—	$119 – $119

Last updated: Mar 31, 2026

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