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
$1
Average
$319
Median
$188
High
$2.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
362 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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445 hospital rates
iThe hospitals that file a Molina 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 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | 58 | $56 – $56 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 42 | $41 – $41 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | 27 | $46 – $46 |
| 4 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $194 | $194 | $2 | 1% | 26 | $193 – $196 |
| 5 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $268 | $268 | — | — | 4–40 | $268 – $268 |
| 6 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $268 | $268 | — | — | 4–40 | $268 – $268 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · other · outpatient | 2 | $324 | $324 | — | — | 2–20 | $324 – $324 |
| 8 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $136 | $136 | — | — | 2–20 | $136 – $136 |
| 9 | Navarro Hospital LP Corsicana, TX facility · other · outpatient | 4 | $163 | $163 | — | — | 2–20 | $163 – $163 |
| 10 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | 1–10 | $252 – $252 |
| 12 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 13 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | 1–10 | $113 – $113 |
| 14 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 15 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $95 | — | — | 1–10 | $95 – $95 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 19 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 1 | $183 | $183 | — | — | 1–10 | $183 – $183 |
| 20 | Deaconess Health System Henderson Hospital Henderson, KY professional · other · both | 1 | $268 | $268 | — | — | 1–10 | $268 – $268 |
| 21 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $596 | $596 | — | — | 1–10 | $596 – $596 |
| 22 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $122 | $142 | $29 | 20% | 1–10 | $122 – $183 |
| 23 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $131 | $147 | $94 | 64% | 1–10 | $55 – $269 |
| 24 | Pike Health Services Inc Waverly, OH facility · other · outpatient | 1 | $518 | $518 | — | — | 1–10 | $518 – $518 |
| 25 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | 1–10 | $182 – $182 |
← Payers reporting HCPCS A9500 · Snapshot 20261111T120946Z-9134e7f7