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
$218
Median
$133
High
$1.5k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
110 hospitals; the 90th percentile is 9.5× 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.
Filter by billing methodology
Filter by billing class
116 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $255 | $255 | — | — | 44 | $255 – $255 |
| 2 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $46 | $46 | $1 | 1% | 2–20 | $46 – $47 |
| 3 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 4 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 5 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 8 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 9 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | CATHOLIC MEDICAL CENTER MANCHESTER, NH percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 12 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 13 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 15 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 16 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 17 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $578 | $578 | — | — | — | $578 – $578 |
| 18 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 20 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 21 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 22 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 23 | Children's Hospital Medical Center Mason, OH fee schedule · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 24 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 25 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $606 | $606 | — | — | — | $606 – $606 |
← Payers reporting HCPCS A9500 · Snapshot 20261111T120946Z-9134e7f7