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 AUTO WBC
Jasper, TX
See all hospitals reporting HCPCS A9569 →Price type
Southeast Texas - Jasper Memorial’s median price of $1.1k is 37% below the median hospital's median price ($1.7k), higher than 24% of the 1,611 hospitals reporting HCPCS A9569. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 | UnitedHealthcare all payer fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Aetna mm fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Bcbs Tx mm fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Humana gold choice mm fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Molina medicare adv mm fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | WellCare mm fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Devoted mm fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Humana choicecare fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 11 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 12 | Bcbs Tx heb fee schedule · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 13 | Bcbs Tx hmo fee schedule · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 14 | Bcbs Tx ppo fee schedule · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 15 | Bcbs Tx traditional fee schedule · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
Last updated: Jan 13, 2026
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