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
Technetium Tc-99m-disofenin 1 each
San Angelo, TX
See all hospitals reporting HCPCS A9510 →Price type
Shannon River Crest Hospital’s median price of $673 is 471% above the median hospital's median price ($118), higher than 98% of the 1,234 hospitals reporting HCPCS A9510. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Tx hmo facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 2 | Bcbs Tx bav facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Bcbs Tx ppo facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 4 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | $1.3k | 69% | — | $562 – $3.1k |
| 5 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $1.3k | 69% | — | $562 – $3.1k |
| 6 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.4k | 69% | — | $613 – $3.4k |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | $1.4k | 69% | — | $639 – $3.5k |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | $1.4k | 69% | — | $639 – $3.5k |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | $1.4k | 69% | — | $639 – $3.5k |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | $1.4k | 69% | — | $639 – $3.5k |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | $1.4k | 69% | — | $639 – $3.5k |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | $1.5k | 69% | — | $665 – $3.7k |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | $1.5k | 69% | — | $665 – $3.7k |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | $1.5k | 69% | — | $682 – $3.8k |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | $1.5k | 69% | — | $682 – $3.8k |
Last updated: Dec 8, 2025
See Technetium-99m disofenin diagnostic imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.