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
$48
Average
$460
Median
$178
High
$10.2k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
176 hospitals; the 90th percentile is 5.0× 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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249 hospital rates
iThe hospitals that file a Medica 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 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | $2 | 1% | 44 | $226 – $230 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | $2 | 1% | 44 | $226 – $230 |
| 3 | SAINT CROIX REGIONAL MEDICAL CENTER SAINT CROIX FALLS, WI other · both | 1 | $520 | $520 | — | — | 36 | $520 – $520 |
| 4 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $271 | $271 | $105 | 39% | 12 | $166 – $376 |
| 5 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $531 | 45% | 12 | $659 – $1.7k |
| 6 | Fairview Health Services Edina, MN other · inpatient | 1 | $120 | $120 | — | — | 5–50 | $120 – $120 |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $120 | $120 | — | — | 5–50 | $120 – $120 |
| 8 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $120 | $120 | — | — | 5–50 | $120 – $120 |
| 9 | Fairview Health Services Princeton, MN other · inpatient | 1 | $120 | $120 | — | — | 5–50 | $120 – $120 |
| 10 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $83 | $122 | $73 | 60% | 4–40 | $57 – $252 |
| 11 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $275 | $281 | $151 | 54% | 2–20 | $125 – $448 |
| 12 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 4 | $183 | $166 | $48 | 29% | 1–10 | $87 – $209 |
| 13 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 2 | $453 | $453 | $39 | 9% | 1–10 | $414 – $492 |
| 14 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 4 | $207 | $211 | $13 | 6% | 1–10 | $200 – $232 |
| 15 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $335 | $324 | $41 | 12% | 1–10 | $252 – $353 |
| 16 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | 1–10 | $185 – $185 |
| 17 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · outpatient | 4 | $207 | $215 | $19 | 9% | 1–10 | $200 – $247 |
| 18 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $133 | $133 | $4 | 3% | — | $129 – $136 |
| 23 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $129 | $124 | $19 | 15% | — | $87 – $136 |
| 24 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 4 | $183 | $166 | $48 | 29% | — | $87 – $209 |
| 25 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $133 | $133 | $4 | 3% | — | $129 – $136 |
← Payers reporting HCPCS A9502 · Snapshot 20261111T120946Z-9134e7f7