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
TC-99M MEDRONATE
Troy, NY
See all hospitals reporting HCPCS A9503 →Price type
Samaritan Hospital’s median price of $88 is 2% below the median hospital's median price ($90), higher than 49% of the 2,017 hospitals reporting HCPCS A9503. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 38 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 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Anthem empire medicaid facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Excellus empire medicaid facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 5 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 6 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 7 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 8 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 9 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 13 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 14 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 15 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 16 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 17 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 18 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 19 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 20 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 21 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 22 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 23 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 24 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 25 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
Last updated: Mar 31, 2026
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