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
$26
Average
$222
Median
$116
High
$1.4k
Each hospital's average Clover rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 17.5× 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.
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23 hospital rates
iThe hospitals that file a Clover 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 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 2 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 3 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 4 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 2 | $344 | $344 | — | — | — | $344 – $344 |
| 5 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 6 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $16 | 44% | — | $20 – $52 |
| 7 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 8 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $16 | 44% | — | $20 – $52 |
| 9 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 10 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $16 | 44% | — | $20 – $52 |
| 11 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $16 | 44% | — | $20 – $52 |
| 12 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | $26 | 99% | — | $0 – $52 |
| 13 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $16 | 44% | — | $20 – $52 |
| 14 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $16 | 44% | — | $20 – $52 |
| 15 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $16 | 44% | — | $20 – $52 |
| 16 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 17 | Penn Medicine Princeton Medical Center Princeton, NJ facility · other · outpatient | 1 | $668 | $668 | — | — | — | $668 – $668 |
| 18 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 1 | $804 | $804 | — | — | — | $804 – $804 |
| 20 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 21 | The Chester County Hospital West Chester, PA facility · other · outpatient | 1 | $498 | $498 | — | — | — | $498 – $498 |
| 22 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 23 | The Medical Center of Peach County Inc Byron, GA fee schedule · both | 1 | $136 | $136 | — | — | — | $136 – $136 |
← Payers reporting HCPCS A9502 · Snapshot 20261111T120946Z-9134e7f7