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, AEROSOL, PER STUDY DOSE, UP TO 75 MILLICURIES
Ukiah, CA
See all hospitals reporting HCPCS A9567 →Price type
Ukiah Adventist Hospital’s median price of $3.2k is 2374% above the median hospital's median price ($128), higher than 99% of the 1,475 hospitals reporting HCPCS A9567. 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, 10 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 | $26 | $26 | — | — | — | $26 – $26 |
| 2 | UnitedHealthcare uhc jll csp 1/1/25 fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 3 | UnitedHealthcare uhc all payer-all other plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 7 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 8 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Kaiser kaiser medi-cal fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 10 | Medicaid medi-cal fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
Last updated: May 24, 2026
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