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
$186
Median
$123
High
$2.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
213 hospitals; the 90th percentile is 6.9× 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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230 hospital rates
iThe hospitals that file a WellCare 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 Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 410 | $41 – $41 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | 94 | $46 – $46 |
| 3 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 76 | $191 – $191 |
| 4 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | 72 | $65 – $65 |
| 5 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | 72 | $65 – $65 |
| 6 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | 54 | $146 – $146 |
| 7 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | 40 | $154 – $154 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | 36 | $46 – $46 |
| 9 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | 32 | $147 – $147 |
| 10 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $190 | $190 | $54 | 29% | 29 | $135 – $244 |
| 11 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | 12 | $66 – $66 |
| 12 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | 12 | $94 – $94 |
| 13 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 3 | $271 | $346 | $142 | 41% | 4–40 | $179 – $542 |
| 14 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 1 | $506 | $506 | — | — | 2–20 | $506 – $506 |
| 15 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | — | — | 1–10 | $95 – $95 |
| 16 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · inpatientfrom % of charges | 1 | $118 | $118 | — | — | 1–10 | $118 – $118 |
| 17 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | 1–10 | $118 – $118 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | 1–10 | $56 – $56 |
| 19 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 20 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 21 | Duplin General Hospital, Inc. Kenansville, NC percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | 1–10 | $69 – $69 |
| 22 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 23 | East Carolina Health-Heritage, Inc. Tarboro, NC percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 24 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 25 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | — | — | 1–10 | $140 – $140 |
← Payers reporting HCPCS A9500 · Snapshot 20261111T120946Z-9134e7f7