Technetium-99m bicisate diagnostic imaging agent at UPMC Williamsport

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TC99M NEUROLITE (<=25MCI)

Williamsport, PA

See all hospitals reporting HCPCS A9557 →

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Williamsport’s median price of $753 is 41% below the median hospital's median price ($1.3k), higher than 15% of the 1,548 hospitals reporting HCPCS A9557. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9557 at UPMC Williamsport

Negotiated rates from the hospital’s own file: 7 payers, 25 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	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$463	$463	—	—	—	$463 – $463
2	Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges	$472	$472	—	—	—	$472 – $472
3	Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges	$498	$498	—	—	—	$498 – $498
4	Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges	$545	$545	—	—	—	$545 – $545
5	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$555	$555	—	—	—	$555 – $555
6	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$583	$583	—	—	—	$583 – $583
7	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$586	$586	—	—	—	$586 – $586
8	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$615	$615	—	—	—	$615 – $615
9	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	$691	$691	—	—	—	$691 – $691
10	Aetna medicare facility · fee schedule · outpatient	$704	$704	—	—	—	$704 – $704
11	Amerihealth Caritas medicare facility · fee schedule · outpatient	$704	$704	—	—	—	$704 – $704
12	UnitedHealthcare medicare facility · fee schedule · outpatient	$732	$732	—	—	—	$732 – $732
13	Highmark medicare facility · fee schedule · outpatient	$738	$738	—	—	—	$738 – $738
14	Aetna first health facility · percent of total billed charges · inpatientfrom % of charges	$768	$768	—	—	—	$768 – $768
15	Aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$768	$768	—	—	—	$768 – $768
16	First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges	$783	$783	—	—	—	$783 – $783
17	First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges	$783	$783	—	—	—	$783 – $783
18	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$795	$795	—	—	—	$795 – $795
19	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$795	$795	—	—	—	$795 – $795
20	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$797	$797	—	—	—	$797 – $797
21	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$797	$797	—	—	—	$797 – $797
22	MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges	$907	$907	—	—	—	$907 – $907
23	MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges	$907	$907	—	—	—	$907 – $907
24	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges	$907	$907	—	—	—	$907 – $907
25	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges	$907	$907	—	—	—	$907 – $907

Last updated: Mar 6, 2026

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