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
PR Technetium Tc-99m Tetrofosmin per Study Dose
Low
$0
Average
$413
Median
$241
High
$11.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
934 hospitals; the 90th percentile is 9.3× 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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1,396 hospital rates
iThe hospitals that file a Aetna 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $338 | $315 | $140 | 44% | 72 | $102 – $488 |
| 2 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 60 | $105 – $105 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $201 | $201 | — | — | 51 | $201 – $201 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $208 | $208 | $170 | 82% | 46 | $38 – $378 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 7 | $401 | $440 | $96 | 22% | 46 | $401 – $675 |
| 6 | Newark Beth Israel Medical Center Newark, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $37 | $44 | $22 | 50% | 44–53 | $21 – $73 |
| 7 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 5 | $519 | $527 | $273 | 52% | 39–48 | $227 – $902 |
| 8 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $286 | $292 | $162 | 56% | 38 | $125 – $472 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 3 | $161 | $158 | $17 | 11% | 37 | $136 – $177 |
| 10 | Jersey City Medical Center Jersey City, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $77 | $68 | $12 | 17% | 35–53 | $52 – $77 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $790 | $790 | — | — | 33 | $790 – $790 |
| 12 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $185 | $57 | 31% | 30–39 | $94 – $255 |
| 13 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 26 | $82 – $82 |
| 14 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 26 | $82 – $82 |
| 15 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 26 | $82 – $82 |
| 16 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $312 | $269 | $80 | 30% | 18–36 | $151 – $337 |
| 17 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $167 | $226 | $85 | 38% | 16 | $163 – $347 |
| 18 | Community Medical Center Toms River, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | $27 | 54% | 15–24 | $23 – $77 |
| 19 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $319 | $325 | $130 | 40% | 14 | $187 – $472 |
| 20 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $663 | $663 | — | — | 13 | $663 – $663 |
| 21 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | $81 | 74% | 13 | $28 – $190 |
| 22 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $150 | $150 | — | — | 5–50 | $150 – $150 |
| 23 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $111 | $24 | 22% | 5–50 | $63 – $124 |
| 24 | Holy Redeemer Health System Meadowbrook, PA facility · other · outpatient | 1 | $184 | $184 | — | — | 5–50 | $184 – $184 |
| 25 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $86 | $112 | $59 | 52% | 4–40 | $63 – $225 |
← Payers reporting HCPCS A9502 · Snapshot 20261111T120946Z-9134e7f7