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
$43
Average
$20.1k
Median
$222
High
$2268.3k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
115 hospitals; the 90th percentile is 7.7× 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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139 hospital rates
iThe hospitals that file a Highmark 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 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $244 | $314 | $99 | 31% | 15–33 | $244 – $454 |
| 2 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 3 | $316 | $309 | $39 | 13% | 4–40 | $243 – $371 |
| 3 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $189 | $189 | — | — | 2–20 | $189 – $189 |
| 4 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $189 | $189 | — | — | 2–20 | $189 – $189 |
| 5 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 3 | $165 | $165 | $34 | 21% | 2–20 | $130 – $201 |
| 6 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $189 | $189 | — | — | 2–20 | $189 – $189 |
| 7 | Princeton Community Hospital Assn Inc. Princeton, WV facility · other · outpatient | 1 | $189 | $189 | — | — | 2–20 | $189 – $189 |
| 8 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $189 | $189 | — | — | 2–20 | $189 – $189 |
| 9 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $451 | $451 | — | — | 2–20 | $451 – $451 |
| 10 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $189 | $189 | — | — | 2–20 | $189 – $189 |
| 11 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 12 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $431 | $431 | — | — | 1–10 | $431 – $431 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $128 | $126 | $3 | 2% | 1–10 | $122 – $128 |
| 14 | Nicholas H. Noyes Memorial Hospital Dansville, NY percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 15 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $133 | $133 | — | — | 1–10 | $133 – $133 |
| 16 | Webster Memorial Hospital Inc Cowen, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4536.5k | $4536.5k | $219.9k | 5% | 1–10 | $4316.7k – $4756.4k |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $109 | $115 | $9 | 7% | — | $109 – $127 |
| 18 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 19 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $309 | $309 | — | — | — | $309 – $309 |
| 20 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $672 | $672 | — | — | — | $672 – $672 |
| 21 | Beebe Medical Center Inc. Lewes, DE facility · fee schedule · outpatient | 1 | $478 | $478 | — | — | — | $478 – $478 |
| 22 | Boone Memorial Hospital Madison, WV other · both | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 23 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 2 | $125 | $125 | $9 | 8% | — | $116 – $135 |
| 24 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $145 | $145 | — | — | — | $145 – $145 |
| 25 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Payers reporting HCPCS A9500 · Snapshot 20261111T120946Z-9134e7f7