What does code A9567 cost?

Across the published hospital price files, the disclosed cash price for A9567 ranges from $44.00 to $366. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

A9567 is the billing code hospitals use to identify "HC NUC MED TC-99M PENTETATE DX AEROSOL STUDY DOSE UP TO 75 MCI" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

A9567

HCPCS

HC NUC MED TC-99M PENTETATE DX AEROSOL STUDY DOSE UP TO 75 MCI

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A9567 (HC NUC MED TC-99M PENTETATE DX AEROSOL STUDY DOSE UP TO 75 MCI) appears at 15 hospitals with disclosed cash prices from $44.00 to $366. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare A9567 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code A9567 vary by about 8.3× across the 14 hospitals with disclosed prices here — from $44.00 to $366. Shopping around can matter.

Hospitals

Prices shown

$44.00

Lowest cash

$366

Highest cash

code A9567 cash price17 disclosed · 14 hospitals

$44.00median ~$115$366

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$44.00 – $115

Chicago · 1 hospital$44.00
Grayling · 1 hospital$48.45
Kenosha · 1 hospital$115
Grafton · 1 hospital$115
Elkhorn · 1 hospital$115–$115
Green Bay · 1 hospital$115

20 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC NUC MED TC-99M PENTETATE DX AEROSOL STUDY DOSE UP TO 75 MCI Inpatient & outpatient	Endeavor Health Edward Hospital	A9567 HCPCS	$303	$303	—	—
Technetium tc-99m aerosol Outpatient	Endeavor Health Edward Hospital	A9567 HCPCS	—	—	$154 – $154	—
Hc Nm Tech Tc 99M Penetrate Diag Aero Inpatient & outpatient	University of Chicago Medical Center	A9567 HCPCS	—	—	—	—
Technetium tc-99m aerosol Outpatient	University of Chicago Medical Center	A9567 HCPCS	—	—	—	—
HB TC99M AEROSOL Inpatient & outpatient	Endeavor Health Swedish Hospital	A9567 HCPCS	$44.00	$44.00	—	—
technetium Tc-99m pentetate Kit 25 millicurie Outpatient	Froedtert Hospital	A9567 HCPCS	$296	$163	$88.89 – $256	—
RRX TC99M AEROSOL UP TO 75MCI Inpatient	Aurora BayCare Medical Center	A9567 HCPCS	$230	$115	$138 – $196	—
RRX TC99M AEROSOL UP TO 75MCI Inpatient	Aurora Medical Center Burlington	A9567 HCPCS	$230	$115	$138 – $196	—
RRX TC99M AEROSOL UP TO 75MCI Inpatient	Aurora Medical Center Bay Area	A9567 HCPCS	$230	$115	$138 – $195	—
TECHNETIUM TC 99M PENTETATE AEROSOL Inpatient	Aurora Medical Center Grafton	A9567 HCPCS	$230	$115	$138 – $195	—
TECHNETIUM TC 99M PENTETATE AEROSOL Inpatient	Aurora Medical Center Kenosha	A9567 HCPCS	$229	$115	$138 – $195	—
TECHNETIUM TC 99M PENTETATE AEROSOL Inpatient	Aurora Lakeland Medical Center	A9567 HCPCS	$230	$115	$138 – $195	—
RRX TC99M AEROSOL UP TO 75MCI Inpatient	Aurora Lakeland Medical Center	A9567 HCPCS	$230	$115	$138 – $196	—
technetium Tc-99m pentetate Kit 25 millicurie Inpatient	Froedtert West Bend Hospital	A9567 HCPCS	$296	$163	$148 – $281	—
technetium Tc-99m pentetate Kit 25 millicurie Inpatient	Froedtert Holy Family Memorial Hospital	A9567 HCPCS	$296	$163	$148 – $261	—
2809 TC 99M DTPA PER STUDY Outpatient	Munson Healthcare Grayling	A9567 HCPCS	$57.00	$48.45	$17.32 – $112	—
2809 TC 99M DTPA PER STUDY Inpatient	Munson Healthcare Cadillac	A9567 HCPCS	$431	$366	$259 – $852	—
TC 99M DTPA PER STUDY Inpatient	Munson Healthcare Cadillac	A9567 HCPCS	$431	$366	$259 – $852	—
2809 TC 99M DTPA PER STUDY Outpatient	Munson Medical Center	A9567 HCPCS	$407	$346	$96.06 – $399	—
TC 99M DTPA PER STUDY Outpatient	Munson Medical Center	A9567 HCPCS	$407	$346	$96.06 – $399	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish A9567 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Endeavor Health Swedish Hospital Froedtert Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Aurora Medical Center Bay Area Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Munson Healthcare Grayling Munson Healthcare Cadillac Munson Medical Center

Code A9567: frequently asked

What does code A9567 cost?: Across the published hospital price files, the disclosed cash price for A9567 ranges from $44.00 to $366. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code A9567?: A9567 is the billing code hospitals use to identify "HC NUC MED TC-99M PENTETATE DX AEROSOL STUDY DOSE UP TO 75 MCI" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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