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
TC99 TETROFOSMIN DX P/STDY DSE
New Castle, PA
See all hospitals reporting HCPCS A9502 →Price type
UPMC Jameson’s median price of $464 is 119% above the median hospital's median price ($211), higher than 85% of the 1,702 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, 9 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 medicare facility · fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 2 | Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 4 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $318 | $318 | — | — | — | $318 – $318 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $422 | $422 | — | — | — | $422 – $422 |
| 6 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · inpatientfrom % of charges | $632 | $632 | — | — | — | $632 – $632 |
| 7 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $674 | $674 | — | — | — | $674 – $674 |
| 8 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $674 | $674 | — | — | — | $674 – $674 |
| 9 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · outpatientfrom % of charges | $674 | $674 | — | — | — | $674 – $674 |
Last updated: Mar 6, 2026
See Technetium-99m tetrofosmin imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.