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
KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION [134046]
Elyria, OH
See all hospitals reporting HCPCS A9500 →Price type
University Hospitals Health System’s median price of $1.9k is 573% above the median hospital's median price ($275), higher than 98% of the 2,095 hospitals reporting HCPCS A9500. 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, 19 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 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.2k | $847 | 69% | — | $133 – $2.7k |
| 2 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.3k | $919 | 69% | — | $144 – $2.9k |
| 3 | Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.3k | $931 | 69% | — | $146 – $2.9k |
| 4 | Medical Mutual supermed hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.4k | $942 | 69% | — | $148 – $3.0k |
| 5 | Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.5k | $1.0k | 69% | — | $163 – $3.3k |
| 6 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.7k | $1.2k | 69% | — | $185 – $3.7k |
| 7 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.7k | $1.2k | 69% | — | $185 – $3.7k |
| 8 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $1.8k | $1.3k | 69% | — | $199 – $4.0k |
| 9 | UnitedHealthcare nexus commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.0k | $1.4k | 69% | — | $217 – $4.3k |
| 10 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.1k | $1.4k | 69% | — | $224 – $4.5k |
| 11 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.1k | $1.4k | 69% | — | $224 – $4.5k |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.2k | $1.5k | 69% | — | $241 – $4.8k |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.5k | $1.7k | 69% | — | $269 – $5.4k |
| 14 | Medical Mutual hmo facility · percent of total billed charges · inpatientfrom % of charges | $2.8k | $2.6k | $1.8k | 69% | — | $282 – $5.6k |
| 15 | Medical Mutual hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.6k | $1.8k | 69% | — | $282 – $5.6k |
| 16 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.3k | $3.1k | $2.1k | 69% | — | $334 – $6.7k |
| 17 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.1k | $2.1k | 69% | — | $334 – $6.7k |
| 18 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.3k | $2.3k | 69% | — | $363 – $7.3k |
| 19 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.3k | $2.3k | 69% | — | $363 – $7.3k |
Last updated: Jul 14, 2026
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