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
NM DOSE TETROFOSMIN OR MYOVIEW
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$1.1k
Median
$253
High
$111.3k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 216 hospitals; the 90th percentile is 22.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Saint Croix Regional Medical Center SAINT CROIX FALLS, WI | $259 | $312 | $104 | 33% | 307 | $259 – $520 |
| 2 | Self Regional Healthcare Greenwood, SC | $150 | $150 | $29 | 19% | 301–319 | $121 – $178 |
| 3 | Allina Health Systems Owatonna, MN | $280 | $278 | $100 | 36% | 63–99 | $129 – $415 |
| 4 | Allina Health Systems Faribault, MN | $280 | $278 | $100 | 36% | 63–99 | $129 – $415 |
| 5 | Allina Health Systems Cambridge, MN | $280 | $278 | $100 | 36% | 62–98 | $129 – $415 |
| 6 | Allina Health Systems Buffalo, MN | $280 | $278 | $100 | 36% | 62–98 | $129 – $415 |
| 7 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ | $77 | $77 | $30 | 39% | 61 | $47 – $107 |
| 8 | Melrosewakefield Healthcare Melrose, MA | $205 | $205 | $93 | 45% | 57–120 | $113 – $298 |
| 9 | West Virginia University Hospitals, Inc. Morgantown, WV | $198 | $183 | $23 | 13% | 55–91 | $151 – $201 |
| 10 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY | $980 | $980 | — | — | 55–64 | $980 – $980 |
Ask Claude or any MCP client for HCPCS A9502 pricing at a specific hospital — see how to connect.