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 MEBROFENIN, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES
Ukiah, CA
See all hospitals reporting HCPCS A9537 →Price type
Ukiah Adventist Hospital’s median price of $366 is 151% above the median hospital's median price ($146), higher than 90% of the 2,060 hospitals reporting HCPCS A9537. 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 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $179 | $179 | — | — | — | $179 – $179 |
| 2 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 3 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 4 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 5 | UnitedHealthcare uhc all payer-all other plans fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 6 | UnitedHealthcare uhc jll csp 1/1/25 fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 7 | Blue Cross Blue Shield blue cross mcs-all other plans fee schedule · outpatient | $366 | $366 | — | — | — | $366 – $366 |
| 8 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $366 | $366 | — | — | — | $366 – $366 |
| 9 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 10 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 11 | Aetna aetna-all plans fee schedule · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 12 | Kaiser kaiser medi-cal fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 13 | Medicaid medi-cal fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
Last updated: May 24, 2026
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