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
XENON XE-133 GAS, DIAGNOSTIC, PER 10 MILLICURIES
Ukiah, CA
See all hospitals reporting HCPCS A9558 →Price type
Ukiah Adventist Hospital’s median price of $2.5k is 717% above the median hospital's median price ($309), higher than 100% of the 1,455 hospitals reporting HCPCS A9558. 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 cross exchange fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 3 | Blue Cross Blue Shield blue cross mcs-all other plans fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 4 | UnitedHealthcare uhc jll csp 1/1/25 fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 5 | UnitedHealthcare uhc all payer-all other plans fee schedule · outpatient | $834 | $834 | — | — | — | $834 – $834 |
| 6 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Aetna aetna-all plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 10 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 11 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 12 | Kaiser kaiser medi-cal fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | Medicaid medi-cal fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
Last updated: May 24, 2026
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