Technetium-99m tetrofosmin imaging agent at Winter Haven 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.

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Generated: October 20, 2026

Original text from hospital filings

NM TC99MTETROFOSMIN DOSE<41MCI

Haven, FL

See all hospitals reporting HCPCS A9502 →

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How this price compares nationally

Winter Haven Hospital’s median price of $590 is 180% above the median hospital's median price ($211), higher than 91% of the 1,695 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9502 at Winter Haven Hospital

Negotiated rates from the hospital’s own file: 8 payers, 31 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	Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
2	Cigna commercial hmo facility · fee schedule · outpatient	$268	$268	—	—	—	$268 – $268
3	Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
4	Cigna commercial ppo facility · fee schedule · outpatient	$274	$274	—	—	—	$274 – $274
5	Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
6	Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges	$364	$364	—	—	—	$364 – $364
7	Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges	$390	$390	—	—	—	$390 – $390
8	Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$408	$408	—	—	—	$408 – $408
9	Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges	$430	$430	—	—	—	$430 – $430
10	Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$444	$444	—	—	—	$444 – $444
11	UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$448	$448	—	—	—	$448 – $448
12	Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges	$453	$453	—	—	—	$453 – $453
13	Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges	$475	$475	—	—	—	$475 – $475
14	Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
15	Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges	$498	$498	—	—	—	$498 – $498
16	UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$660	$660	—	—	—	$660 – $660
17	UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$660	$660	—	—	—	$660 – $660
18	MultiPlan commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$674	$674	—	—	—	$674 – $674
19	MultiPlan commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$674	$674	—	—	—	$674 – $674
20	Aetna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$687	$687	—	—	—	$687 – $687
21	Aetna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$687	$687	—	—	—	$687 – $687
22	First Health commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$717	$717	—	—	—	$717 – $717
23	First Health commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$717	$717	—	—	—	$717 – $717
24	Cigna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$733	$733	—	—	—	$733 – $733
25	Cigna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$733	$733	—	—	—	$733 – $733

Page 1 of 2 · 31 rates

Last updated: Jan 1, 2026

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