APC 766
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.
Original text from hospital filings
A9521 TC-99m Exametazime
Low
$896
Average
$2.6k
Median
$1.5k
High
$12.5k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 21 hospitals; the 90th percentile is 5.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairfield Medical Center Lancaster, OH | $896 | $896 | $32 | 4% | — | $864 – $928 |
| 2 | Porter Hospital LLC Valparaiso, IN | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Vicksburg Healthcare LLC Vicksburg, MS | $5.1k | $5.1k | $4.2k | 82% | — | $928 – $9.3k |
| 4 | River Oaks Hospital LLC Flowood, MS | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 5 | Dupont Hospital LLC Wayne, IN | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Naples HMA LLC Naples, FL | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 7 | La Porte Hospital Company LLC La Porte, IN | $1.9k | $1.5k | $437 | 28% | — | $928 – $1.9k |
| 8 | Northwest Hospital LLC Tucson, AZ | $937 | $939 | $12 | 1% | — | $928 – $956 |
| 9 | Northwest Sahurita Hospital LLC Tucson, AZ | $956 | $956 | — | — | — | $956 – $956 |
| 10 | Penn Medicine Princeton Medical Center Plainsboro, NJ | $1.5k | $1.3k | $305 | 23% | — | $928 – $1.7k |
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