Technetium-99m macroaggregated albumin scan 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TC-99M MAA

Troy, NY

See all hospitals reporting HCPCS A9540 →

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $251 is 68% above the median hospital's median price ($150), higher than 66% of the 2,028 hospitals reporting HCPCS A9540. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9540 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	$183	$183	—	—	—	$183 – $183
2	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$183	$183	—	—	—	$183 – $183
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
15	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$320	$320	—	—	—	$320 – $320
16	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$320	$320	—	—	—	$320 – $320
17	First Health first health facility · percent of total billed charges · bothfrom % of charges	$365	$365	—	—	—	$365 – $365
18	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$388	$388	—	—	—	$388 – $388
19	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$411	$411	—	—	—	$411 – $411
20	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$411	$411	—	—	—	$411 – $411
21	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$411	$411	—	—	—	$411 – $411
22	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$457	$457	—	—	—	$457 – $457

Last updated: Mar 31, 2026

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