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
$28
Average
$258
Median
$149
High
$1.2k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
63 hospitals; the 90th percentile is 12.9× 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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70 hospital rates
iThe hospitals that file a Devoted 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 9 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $91 | $45 | 49% | — | $57 – $167 |
| 10 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $88 | $44 | 49% | — | $55 – $163 |
| 11 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $88 | $44 | 49% | — | $55 – $163 |
| 12 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $80 | $11 | 13% | — | $70 – $95 |
| 13 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $442 | $442 | $377 | 85% | — | $65 – $819 |
| 14 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $442 | $442 | $377 | 85% | — | $65 – $819 |
| 15 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $950 | $950 | — | — | — | $950 – $950 |
| 16 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 17 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $9 | 12% | — | $68 – $86 |
| 19 | CHRISTUS Hospital - Orange Orange, TX percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 20 | CHRISTUS West Beaumont Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 21 | Christus Health Southeast Texas Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 22 | Christus Health Southeast Texas Port Arthur, TX percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 23 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 24 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 25 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
← Payers reporting HCPCS A9500 · Snapshot 20261111T120946Z-9134e7f7