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HCPCS A9540
TC99M MAA - DOSE - as described in hospitals' own price files.
9hospitals publishing a price
$334median cash price
$587median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Mat-Su Regional Medical Center | Palmer, AK | $53.40 | $135 | $178 | $19.08 - $171 |
| Crestwood Medical Center | Huntsville, AL | $38.81 | $152 | $216 | $15.50 - $216 |
| Grandview Medical Center | Birmingham, AL | $70.95 | $284 | $473 | $15.50 - $473 |
| Providence St. Peter Hospital | Olympia, WA | $334 | - | $642 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $482 | - | $642 | - |
| Providence St. Vincent Medical Center | Portland, OR | $482 | - | $642 | - |
| Medical Center Enterprise | Enterprise, AL | $113 | $890 | $1,257 | $15.50 - $1,257 |
| Flowers Hospital | Dothan, AL | $496 | $2,482 | $3,309 | $15.50 - $3,309 |
| Gadsden Regional Medical Center | Gadsden, AL | $568 | $3,281 | $4,735 | $15.50 - $4,735 |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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