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
South Campus - Tc-99m Sesta / Dose
San Angelo, TX
See all hospitals reporting HCPCS A9500 →Price type
Shannon River Crest Hospital’s median price of $195 is 29% below the median hospital's median price ($275), higher than 38% of the 2,095 hospitals reporting HCPCS A9500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 | Bcbs Tx hmo facility · fee schedule · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 2 | Bcbs Tx bav facility · fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 3 | Bcbs Tx ppo facility · fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 4 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $237 | $237 | $164 | 69% | — | $73 – $401 |
| 5 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $237 | $237 | $164 | 69% | 2–20 | $73 – $401 |
| 6 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $258 | $258 | $179 | 69% | — | $79 – $437 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $269 | $269 | $186 | 69% | — | $83 – $455 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $269 | $269 | $186 | 69% | — | $83 – $455 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $269 | $269 | $186 | 69% | — | $83 – $455 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $269 | $269 | $186 | 69% | — | $83 – $455 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $269 | $269 | $186 | 69% | — | $83 – $455 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $280 | $280 | $194 | 69% | — | $86 – $473 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $280 | $280 | $194 | 69% | 2–20 | $86 – $473 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $287 | $287 | $199 | 69% | — | $88 – $486 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $287 | $287 | $199 | 69% | — | $88 – $486 |
Last updated: Dec 8, 2025
See Technetium-99m sestamibi imaging dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.