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
$41
Average
$448
Median
$250
High
$4.7k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
91 hospitals; the 90th percentile is 10.5× 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.
Filter by billing methodology
Filter by billing class
143 hospital rates
iThe hospitals that file a Wellmark 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 | Avera Heart Hospital Sioux Falls, SD case rate · outpatient | 2 | $1.6k | $1.6k | — | — | 930 | $1.6k – $1.6k |
| 2 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $1.5k | $1.5k | — | — | 53 | $1.5k – $1.5k |
| 3 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $1.5k | $1.5k | — | — | 53 | $1.5k – $1.5k |
| 4 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $416 | $416 | — | — | 40 | $416 – $416 |
| 5 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $1.1k | $1.1k | — | — | 32 | $1.1k – $1.1k |
| 6 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $333 | $333 | — | — | 25 | $333 – $333 |
| 7 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $791 | $791 | — | — | 25 | $791 – $791 |
| 8 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $1.6k | $1.6k | — | — | 22 | $1.6k – $1.6k |
| 9 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $628 | $628 | — | — | 22 | $628 – $628 |
| 10 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $314 | $314 | — | — | 22 | $314 – $314 |
| 11 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $1.5k | $1.5k | — | — | 17 | $1.5k – $1.5k |
| 12 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 17 | $1.4k – $1.4k |
| 13 | Avera St. Benedicts Parkston, SD outpatient | 1 | $970 | $970 | — | — | 16 | $970 – $970 |
| 14 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $462 | $462 | — | — | 16 | $462 – $462 |
| 15 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $1.8k | $1.8k | — | — | 14 | $1.8k – $1.8k |
| 16 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $1.8k | $1.8k | — | — | 14 | $1.8k – $1.8k |
| 17 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $506 | $506 | — | — | 2–20 | $506 – $506 |
| 18 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $579 | $579 | — | — | 2–20 | $579 – $579 |
| 19 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 20 | Avera Creighton Hospital Creighton, NE outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 21 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $753 | $753 | — | — | 1–10 | $753 – $753 |
| 22 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $753 | $753 | — | — | 1–10 | $753 – $753 |
| 23 | Avera DeSmet De Smet, SD outpatient | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 24 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $380 | $380 | — | — | 1–10 | $380 – $380 |
| 25 | Avera Hand County Hospital Miller, SD outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
← Payers reporting HCPCS A9500 · Snapshot 20261111T120946Z-9134e7f7