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
$1.5k
Median
$178
High
$109.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
318 hospitals; the 90th percentile is 10.6× 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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485 hospital rates
iThe hospitals that file a Anthem 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 Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | 456 | $55 – $55 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 221 | $117 – $117 |
| 3 | Reid Health Richmond, IN percent of total billed charges · bothfrom % of charges | 7 | $1.9k | $1.3k | $682 | 51% | 106 | $549 – $1.9k |
| 4 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $235 | $235 | — | — | 102–138 | $235 – $235 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $163 | $163 | $46 | 28% | 64 | $117 – $209 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 47 | $117 – $117 |
| 7 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · inpatientfrom % of charges | 1 | $242 | $242 | — | — | 16 | $242 – $242 |
| 8 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 16 | $285 – $285 |
| 9 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $608 | $608 | $0 | 0% | 14 | $607 – $608 |
| 10 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 4 | $204 | $217 | $41 | 19% | 13–22 | $179 – $281 |
| 11 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 1 | $607 | $607 | $1 | 0% | 2–20 | $607 – $608 |
| 12 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $607 | $607 | $0 | 0% | 2–20 | $607 – $608 |
| 13 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $607 | $607 | $1 | 0% | 2–20 | $607 – $608 |
| 14 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $607 | $607 | $0 | 0% | 2–20 | $607 – $608 |
| 15 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 5 | $194 | $187 | $41 | 22% | 2–20 | $128 – $236 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $164 | $164 | $47 | 29% | 2–20 | $117 – $211 |
| 17 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · inpatientfrom % of charges | 2 | $266 | $266 | $24 | 9% | 2–20 | $242 – $290 |
| 18 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 2 | $327 | $327 | $85 | 26% | 2–20 | $242 – $411 |
| 19 | DIGNITY COMMUNITY CARE Los Angeles, CA fee schedule · outpatient | 4 | $33 | $31 | $5 | 17% | 2–20 | $22 – $34 |
| 20 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 4 | $163 | $160 | $34 | 21% | 2–20 | $114 – $200 |
| 21 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 2 | $266 | $266 | $24 | 9% | 2–20 | $242 – $290 |
| 22 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $351 | $351 | $60 | 17% | 2–20 | $290 – $411 |
| 23 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $495 | $495 | $19 | 4% | 2–20 | $475 – $514 |
| 24 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 5 | $211 | $230 | $36 | 16% | 1–10 | $184 – $281 |
| 25 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 5 | $161 | $160 | $57 | 36% | 1–10 | $97 – $242 |
← Payers reporting HCPCS A9502 · Snapshot 20261111T120946Z-9134e7f7