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 PENTETATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES
Ukiah, CA
See all hospitals reporting HCPCS A9539 →Price type
Ukiah Adventist Hospital’s median price of $3.2k is 2515% above the median hospital's median price ($121), higher than 99% of the 1,794 hospitals reporting HCPCS A9539. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc jll csp 1/1/25 fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 3 | UnitedHealthcare uhc all payer-all other plans fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 4 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 5 | Blue Cross Blue Shield blue cross mcs-all other plans fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 6 | Aetna aetna-all plans fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 7 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 12 | Kaiser kaiser medi-cal fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 13 | Medicaid medi-cal fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
Last updated: May 24, 2026
See Technetium-99m pentetate diagnostic imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.