What does code A9558 cost?

Across the published hospital price files, the disclosed cash price for A9558 ranges from $18.70 to $338. 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.

A9558 is the billing code hospitals use to identify "HC XENON XE 133 DIAGNOSTIC PER 10 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.

A9558

HCPCS

HC XENON XE 133 DIAGNOSTIC PER 10 MCI

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A9558 (HC XENON XE 133 DIAGNOSTIC PER 10 MCI) appears at 13 hospitals with disclosed cash prices from $18.70 to $338. 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 A9558 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 A9558 vary by about 18× across the 12 hospitals with disclosed prices here — from $18.70 to $338. Shopping around can matter.

Hospitals

Prices shown

$18.70

Lowest cash

$338

Highest cash

code A9558 cash price21 disclosed · 12 hospitals

$18.70median ~$141$338

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$18.70 – $246

Kalkaska · 1 hospital$18.70–$246
Fond Du Lac · 1 hospital$65.00
Grafton · 1 hospital$65.00
Elkhorn · 1 hospital$65.00
Marion · 1 hospital$102
Menomonee Falls · 1 hospital$121

24 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC XENON XE 133 DIAGNOSTIC PER 10 MCI Inpatient & outpatient	Endeavor Health Edward Hospital	A9558 HCPCS	$252	$252	—	—
Xe133 xenon 10mci Outpatient	Endeavor Health Edward Hospital	A9558 HCPCS	—	—	$611 – $611	—
Hc Xenon Xe-133 Gas Dx Up To 15Mci Inpatient & outpatient	University of Chicago Medical Center	A9558 HCPCS	—	—	—	—
Xe133 xenon 10mci Outpatient	University of Chicago Medical Center	A9558 HCPCS	—	—	—	—
HB XENON 133 Inpatient & outpatient	Endeavor Health Swedish Hospital	A9558 HCPCS	$191	$191	—	—
xenon Xe-133 gas 10 MCI Gas 10 millicurie Outpatient	Froedtert Menomonee Falls Hospital	A9558 HCPCS	$220	$121	$65.93 – $198	—
97170 TC99M PENTETATE PER MILLICUIR Inpatient	Munson Healthcare Manistee Hospital	A9558 HCPCS	$165	$140	$82.78 – $852	—
RRX XE133 GAS (PER 10 MCI) Inpatient	Aurora Medical Center Fond du Lac	A9558 HCPCS	$130	$65.00	$78.00 – $111	—
RRX XE133 GAS (PER 10 MCI) Inpatient	Aurora Medical Center Grafton	A9558 HCPCS	$130	$65.00	$78.00 – $111	—
RRX XE133 GAS (PER 10 MCI) Inpatient	Aurora Lakeland Medical Center	A9558 HCPCS	$130	$65.00	$78.00 – $111	—
744 XE 133 PER 10 MCI Inpatient	Kalkaska Memorial Health Center	A9558 HCPCS	$22.00	$18.70	$16.28 – $852	—
97170 TC99M PENTETATE PER MILLICUIR Inpatient	Kalkaska Memorial Health Center	A9558 HCPCS	$289	$246	$214 – $852	—
744 XE 133 PER 10 MCI Outpatient	Munson Healthcare Grayling	A9558 HCPCS	$398	$338	$67.76 – $338	—
2412 XE 133 PER 10 MCI/1 Inpatient	Munson Healthcare Cadillac	A9558 HCPCS	$287	$244	$172 – $852	—
744 XE 133 PER 10 MCI Inpatient	Munson Healthcare Cadillac	A9558 HCPCS	$287	$244	$172 – $852	—
97170 TC99M PENTETATE PER MILLICUIR Inpatient	Munson Healthcare Cadillac	A9558 HCPCS	$287	$244	$172 – $852	—
TC99M PENTETATE PER MILLIC Inpatient	Munson Healthcare Cadillac	A9558 HCPCS	$287	$244	$172 – $852	—
XE 133 PER 10 MCI Inpatient	Munson Healthcare Cadillac	A9558 HCPCS	$287	$244	$172 – $852	—
2412 XE 133 PER 10 MCI/1 Outpatient	Munson Medical Center	A9558 HCPCS	$166	$141	$58.23 – $268	—
744 XE 133 PER 10 MCI Outpatient	Munson Medical Center	A9558 HCPCS	$166	$141	$58.23 – $268	—
97170 TC99M PENTETATE PER MILLICUIR Outpatient	Munson Medical Center	A9558 HCPCS	$166	$141	$58.23 – $268	—
TC99M PENTETATE PER MILLIC Outpatient	Munson Medical Center	A9558 HCPCS	$166	$141	$58.23 – $268	—
XE 133 PER 10 MCI Outpatient	Munson Medical Center	A9558 HCPCS	$166	$141	$58.23 – $268	—
HC XE133 XENON 10MCI Inpatient	Deaconess Illinois Medical Center	A9558 HCPCS	$536	$102	$102 – $483	—

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 A9558 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 Menomonee Falls Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Lakeland Medical Center Kalkaska Memorial Health Center Munson Healthcare Grayling Munson Healthcare Cadillac Munson Medical Center Deaconess Illinois Medical Center

Code A9558: frequently asked

What does code A9558 cost?: Across the published hospital price files, the disclosed cash price for A9558 ranges from $18.70 to $338. 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 A9558?: A9558 is the billing code hospitals use to identify "HC XENON XE 133 DIAGNOSTIC PER 10 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.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code A9558 by state

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