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 MEDRONATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES
Ukiah, CA
See all hospitals reporting HCPCS A9503 →Price type
Ukiah Adventist Hospital’s median price of $2.4k is 2545% above the median hospital's median price ($90), higher than 100% of the 2,017 hospitals reporting HCPCS A9503. 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, 13 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-all plans fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 2 | UnitedHealthcare uhc jll csp 1/1/25 fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 3 | UnitedHealthcare uhc all payer-all other plans fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 4 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $673 | $673 | — | — | — | $673 – $673 |
| 5 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $748 | $748 | — | — | — | $748 – $748 |
| 6 | Blue Cross Blue Shield blue cross mcs-all other plans fee schedule · outpatient | $897 | $897 | — | — | — | $897 – $897 |
| 7 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 11 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 12 | Kaiser kaiser medi-cal fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 13 | Medicaid medi-cal fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: May 24, 2026
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