Technetium-99m tetrofosmin imaging agent at St. Joseph Health System, LLC

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 TETRO/UNITDOS

Wayne, IN

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Pricing by billing methodology

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How this price compares nationally

St. Joseph Health System, LLC’s median price of $606 is 187% above the median hospital's median price ($211), higher than 91% of the 1,702 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9502 at St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 10 payers, 28 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	Anthem anthem in ppo facility · fee schedule · outpatient	$247	$247	—	—	—	$247 – $247
2	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$265	$274	$16	6%	—	$261 – $297
3	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$265	$274	$16	6%	—	$261 – $297
4	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$297	$308	$18	6%	—	$293 – $334
5	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$297	$308	$18	6%	—	$293 – $334
6	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$377	$391	$23	6%	—	$372 – $423
7	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$377	$391	$23	6%	—	$372 – $423
8	Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges	$557	$577	$34	6%	—	$549 – $626
9	Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges	$557	$577	$34	6%	—	$549 – $626
10	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$565	$586	$35	6%	—	$558 – $635
11	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$565	$586	$35	6%	—	$558 – $635
12	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$614	$637	$38	6%	—	$606 – $690
13	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$614	$637	$38	6%	—	$606 – $690
14	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$639	$662	$39	6%	—	$630 – $718
15	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$639	$662	$39	6%	—	$630 – $718
16	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$655	$679	$40	6%	—	$646 – $736
17	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$655	$679	$40	6%	—	$646 – $736
18	Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges	$819	$849	$50	6%	—	$808 – $920
19	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$819	$849	$50	6%	—	$808 – $920
20	Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges	$819	$849	$50	6%	—	$808 – $920
21	Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges	$819	$849	$50	6%	—	$808 – $920
22	Anthem anthem in medicaid facility · other · outpatient	$2.9k	$3.0k	$177	6%	—	$2.8k – $3.2k
23	Caresource caresource hhw in medicaid facility · other · outpatient	$2.9k	$3.0k	$177	6%	—	$2.8k – $3.2k
24	Caresource caresource in hip facility · other · outpatient	$2.9k	$3.0k	$177	6%	—	$2.8k – $3.2k
25	Humana humana pathways in medicaid facility · other · outpatient	$2.9k	$3.0k	$177	6%	—	$2.8k – $3.2k

Page 1 of 2 · 28 rates

Last updated: Apr 1, 2026

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