APC 766

Technetium-99m exametazime imaging agent

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Tc99m exametazime

Optum pricing summary

Low

$865

Average

$978

Median

$928

High

$2.4k

Optum rate distribution

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29 hospital rates

#		Plans
1	Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient	1	$928	$928	—	—	—	$928 – $928
2	Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient	1	$928	$928	—	—	—	$928 – $928
3	Cocke County HMA, LLC Newport, TN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
4	Dupont Hospital LLC Wayne, IN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
5	East Georgia Regional Medical Center LLC Statesboro, GA facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
6	Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient	1	$928	$928	—	—	—	$928 – $928
7	HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient	1	$928	$928	—	—	—	$928 – $928
8	IOM Health System LP Fort Wayne, IN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
9	Jefferson County HMA LLC Jefferson City, TN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
10	Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
11	La Porte Hospital Company LLC La Porte, IN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
12	Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
13	Metro Knoxville HMA LLC Powell, TN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
14	Metro Knoxville HMA LLC Knoxville, TN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
15	Moberly Hospital Company LLC Moberly, MO facility · fee schedule · outpatient	1	$928	$928	—	—	—	$928 – $928
16	Naples HMA LLC Naples, FL facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
17	Naples HMA LLC Naples, FL facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
18	Naples HMA LLC Naples, FL facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
19	PARHAM DOCTORS HOSPITAL Richmond, VA fee schedule · outpatient	1	$928	$928	—	—	—	$928 – $928
20	Porter Hospital LLC Valparaiso, IN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
21	RESEARCH MEDICAL CENTER KANSAS CITY, MO fee schedule · outpatient	2	$865	$865	$63	7%	—	$802 – $928
22	RETREAT DOCTORS HOSPITAL RICHMOND, VA fee schedule · outpatient	1	$928	$928	—	—	—	$928 – $928
23	River Oaks Hospital LLC Flowood, MS facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
24	St. Joseph Health System, LLC Wayne, IN facility · per diem · outpatient	1	$928	$928	—	—	—	$928 – $928
25	The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient	3	$3.3k	$2.4k	$1.1k	47%	—	$816 – $3.3k