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  4. /Q9969
CPT Q9969

Non-heu tc-99m add-on/dose

Reported by 50 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 3,159 billing samples across every hospital reporting.

Low

$4

Average

$21

Median

$10

High

$358

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$22$21$82,916$7$50
2St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$24$23$6243$10$50
3Virginia Mason Medical CenterSeattle, WA$10$14$9—$7$35
4Mercy Medical Center - DubuqueDubuque, IA$395$358$195—$6$668
5IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$8$7$2—$0$12
6IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$8$7$2—$0$10
7IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$8$7$2—$0$11
8IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$9$9$2—$0$10
9IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$8$7$2—$0$10
10Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$27$27$6—$10$34
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