Xenon-133 gas for diagnostic imaging at Valley County Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

XENON xe-133 GAS PER 10 M

Ord, NE

See all hospitals reporting HCPCS A9558 →

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Pricing by billing methodology

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How this price compares nationally

Valley County Hospital’s median price of $164 is 47% below the median hospital's median price ($309), higher than 19% of the 1,455 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9558 at Valley County Hospital

Negotiated rates from the hospital’s own file: 8 payers, 17 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	Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
2	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
3	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
4	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
5	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
6	Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
7	Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
8	WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
9	Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
10	Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
11	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
12	Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
13	Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
14	Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
15	Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
16	MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges	$293	$293	—	—	—	$293 – $293
17	MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges	$293	$293	—	—	—	$293 – $293

Last updated: Jun 15, 2026

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