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
HC TC99M SESTAMIBI/CARDIOLITE/SDTO40MCI
Hanover, PA
See all hospitals reporting HCPCS A9500 →Price type
UPMC Hanover’s median price of $228 is 17% below the median hospital's median price ($275), higher than 44% of the 2,075 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: 6 payers, 12 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 3 | Cigna commercial facility · fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 4 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $190 | $190 | — | — | — | $190 – $190 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $206 | $206 | — | — | — | $206 – $206 |
| 6 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $228 | $228 | — | — | — | $228 – $228 |
| 7 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $228 | $228 | — | — | — | $228 – $228 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 9 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 10 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
Last updated: Mar 6, 2026
See Technetium-99m sestamibi imaging dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.