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
$4.2k
Median
$260
High
$4892.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1298 hospitals; the 90th percentile is 8.2× 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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1,816 hospital rates
iThe hospitals that file a Cigna 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 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $177 | — | — | 28 | $177 – $177 |
| 2 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $177 | — | — | 28 | $177 – $177 |
| 3 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $44.7k | $44.7k | — | — | 18 | $44.7k – $44.7k |
| 4 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | 16 | $147 – $147 |
| 5 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 7 | $79 | $65 | $23 | 35% | 16 | $36 – $99 |
| 6 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 14 | $2.2k – $2.2k |
| 7 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $290 | $481 | $557 | 116% | 12 | $36 – $1.6k |
| 8 | Saint Luke’s South Hospital, Inc Leawood, KS percent of total billed charges · bothfrom % of charges | 7 | $45 | $57 | $25 | 44% | 6–60 | $24 – $86 |
| 9 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $718 | $718 | — | — | 4–40 | $718 – $718 |
| 10 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ fee schedule · outpatient | 3 | $93 | $93 | $6 | 7% | 4–40 | $87 – $99 |
| 11 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ fee schedule · outpatient | 3 | $93 | $93 | $6 | 7% | 4–40 | $87 – $99 |
| 12 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 7 | $45 | $57 | $25 | 44% | 3–30 | $24 – $86 |
| 13 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO percent of total billed charges · bothfrom % of charges | 9 | $368 | $381 | $39 | 10% | 3–30 | $368 – $490 |
| 14 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 8 | $86 | $71 | $24 | 34% | 3–30 | $36 – $99 |
| 15 | Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges | 8 | $86 | $71 | $24 | 34% | 3–30 | $36 – $99 |
| 16 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $691 | $691 | — | — | 2–20 | $691 – $691 |
| 17 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $65 | $65 | $14 | 22% | 2–20 | $51 – $79 |
| 18 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO percent of total billed charges · outpatientfrom % of charges | 1 | $661 | $661 | — | — | 2–20 | $661 – $661 |
| 19 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 4 | $153 | $151 | $23 | 15% | 2–20 | $123 – $174 |
| 20 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $177 | $177 | $36 | 20% | 2–20 | $141 – $213 |
| 21 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $325 | $324 | $185 | 57% | 2–20 | $138 – $531 |
| 22 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $238 | $243 | $139 | 57% | 2–20 | $100 – $398 |
| 23 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $437 | $437 | $309 | 71% | 2–20 | $129 – $746 |
| 24 | Saline Memorial Hospital Benton, AR percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | 2–20 | $52 – $52 |
| 25 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 4 | $423 | $430 | $100 | 23% | 2–20 | $307 – $567 |
← Payers reporting HCPCS A9500 · Snapshot 20261111T120946Z-9134e7f7