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 TETROFOSMIN/MYOVIEW/SD
Hanover, PA
See all hospitals reporting HCPCS A9502 →Price type
UPMC Hanover’s median price of $280 is 33% above the median hospital's median price ($211), higher than 64% of the 1,689 hospitals reporting HCPCS A9502. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 2 | Cigna commercial facility · fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 4 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $254 | $254 | — | — | — | $254 – $254 |
| 6 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $280 | $280 | — | — | — | $280 – $280 |
| 7 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $280 | $280 | — | — | — | $280 – $280 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $300 | $300 | — | — | — | $300 – $300 |
| 9 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 10 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
Last updated: Mar 6, 2026
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