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
TC-99M TETROFOSMIN P STUDY DOSE
Pontiac, MI
See all hospitals reporting HCPCS A9502 →Price type
St Joseph Mercy Oakland’s median price of $145 is 31% below the median hospital's median price ($211), higher than 30% of the 1,702 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 20 payers, 23 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 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 3 | Blue Cross Blue Shield bcbs mi local hmo facility · fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 5 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 6 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 7 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 8 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 9 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 10 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 11 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 12 | Anthem bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 13 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 14 | Carefirst bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 15 | Excellus bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 16 | Highmark bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 17 | Kaiser bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 18 | Premera bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 19 | Regence bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 20 | Wellmark bcbs trad / trust facility · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 21 | Caresource hap hmo facility · fee schedule · both | $225 | $225 | — | — | — | $225 – $225 |
| 22 | Aetna aetna ppo facility · fee schedule · both | $255 | $255 | — | — | — | $255 – $255 |
| 23 | Medical Mutual aetna ppo facility · fee schedule · both | $255 | $255 | — | — | — | $255 – $255 |
Last updated: Mar 31, 2026
See Technetium-99m tetrofosmin imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.