Technetium Tc-99m tilmanocept injection vial 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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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TC-99M TILMANOCEPT DIAG

Troy, NY

See all hospitals reporting HCPCS A9520 →

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $904 is 6% below the median hospital's median price ($961), higher than 46% of the 1,564 hospitals reporting HCPCS A9520. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9520 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	$658	$658	—	—	—	$658 – $658
2	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$658	$658	—	—	—	$658 – $658
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$904	$904	—	—	—	$904 – $904
15	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	First Health first health facility · percent of total billed charges · bothfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k

Last updated: Mar 31, 2026

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