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
Muncy, PA
See all hospitals reporting HCPCS A9502 →Price type
UPMC Muncy’s median price of $571 is 171% above the median hospital's median price ($211), higher than 90% of the 1,695 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: 7 payers, 27 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 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 2 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 3 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 4 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $334 | $334 | — | — | — | $334 – $334 |
| 6 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $345 | $345 | — | — | — | $345 – $345 |
| 7 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $365 | $365 | — | — | — | $365 – $365 |
| 8 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $394 | $394 | — | — | — | $394 – $394 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $406 | $406 | — | — | — | $406 – $406 |
| 10 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $427 | $427 | — | — | — | $427 – $427 |
| 11 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $429 | $429 | — | — | — | $429 – $429 |
| 12 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $451 | $451 | — | — | — | $451 – $451 |
| 13 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $562 | $562 | — | — | — | $562 – $562 |
| 14 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $562 | $562 | — | — | — | $562 – $562 |
| 15 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $573 | $573 | — | — | — | $573 – $573 |
| 16 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $573 | $573 | — | — | — | $573 – $573 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $583 | $583 | — | — | — | $583 – $583 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $583 | $583 | — | — | — | $583 – $583 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $584 | $584 | — | — | — | $584 – $584 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $584 | $584 | — | — | — | $584 – $584 |
| 21 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 22 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 23 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 24 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 25 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $809 | $809 | — | — | — | $809 – $809 |
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.