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HCPCS A9501

Technetium tc-99m teboroxime, diagnostic, per study dose

Reported by 84 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$1

Average

$4.5k

Median

$265

High

$71.0k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Medical Ctiy ArgyleArgyle, TX$283$265$39—$199$293
2Medical City AllianceSAGINAW, TX$283$265$39—$199$293
3Medical City MckinneyMcKinney, TX$283$265$39—$199$293
4Medical City Las ColinasIrving, TX$283$265$39—$199$293
5Med City Heart HospitalDallas, TX$283$265$39—$199$293
6Medical City DentonArgyle, TX$283$265$39—$199$293
7Med City Spine HospitalDALLAS, TX$283$265$39—$199$293
8Medical City Surgery City AllianceFT WORTH, TX$283$265$39—$199$293
9Medical City DallasDallas, TX$283$265$39—$199$293
10Medical City ArlingtonRED OAK, TX$283$265$39—$199$293
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