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
Radiophar Tc99M Sestamibi Dose
Low
$0
Average
$2.7k
Median
$279
High
$2949.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1313 hospitals; the 90th percentile is 9.8× 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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2,027 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 2 | $109 | $109 | — | — | 466 | $109 – $109 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $225 | $225 | $184 | 82% | 186 | $41 – $410 |
| 3 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $459 | $765 | $443 | 58% | 168–186 | $444 – $1.4k |
| 4 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $74 | $59 | $22 | 37% | 149–167 | $28 – $74 |
| 5 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA other · outpatient | 1 | $4.3k | $4.3k | — | — | 118–1,180 | $4.3k – $4.3k |
| 6 | Raleigh General Hospital Beckley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $431 | $386 | 90% | 111–129 | $208 – $1.1k |
| 7 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $193 | $193 | — | — | 102 | $193 – $193 |
| 8 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $695 | $695 | — | — | 101 | $695 – $695 |
| 9 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $96 | $96 | — | — | 98 | $96 – $96 |
| 10 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $431 | $386 | 90% | 91–109 | $208 – $1.1k |
| 11 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $193 | $193 | — | — | 90 | $193 – $193 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $116 | $75 | 65% | 82 | $41 – $191 |
| 13 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $69 | $55 | $23 | 42% | 73–82 | $22 – $74 |
| 14 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $44.7k | $44.7k | — | — | 65 | $44.7k – $44.7k |
| 15 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $136 | $193 | $80 | 41% | 63 | $136 – $305 |
| 16 | The University of Kansas Health System- St. Francis Campus Topeka, KS facility · percent of total billed charges · bothfrom % of charges | 4 | $211 | $211 | — | — | 62 | $211 – $211 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | 58 | $56 – $56 |
| 18 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 40 | $2.2k – $2.2k |
| 19 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $424 | $424 | $20 | 5% | 39 | $404 – $443 |
| 20 | Community Medical Center Toms River, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $22 | $14 | 67% | 36–45 | $7 – $36 |
| 21 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $498 | $774 | $419 | 54% | 36–54 | $458 – $1.4k |
| 22 | Robert Wood Johnson University Hospital Somerset Somerville, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $70 | $59 | $18 | 30% | 35–53 | $34 – $74 |
| 23 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 32 | $2.1k – $2.1k |
| 24 | Hospital Development Co Spencer, WV percent of total billed charges · bothfrom % of charges | 3 | $834 | $652 | $258 | 40% | 30–66 | $287 – $834 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 3 | $158 | $139 | $69 | 50% | 29 | $46 – $212 |
← Payers reporting HCPCS A9500 · Snapshot 20261111T120946Z-9134e7f7