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
$1
Average
$865
Median
$136
High
$6.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 122.7× 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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83 hospital rates
iThe hospitals that file a Medicaid 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 16 | $3.4k | $3.6k | $286 | 8% | 349 | $3.4k – $4.1k |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges | 2 | $3.4k | $3.4k | $306 | 9% | 256 | $3.1k – $3.7k |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN percent of total billed charges · bothfrom % of charges | 2 | $3.8k | $3.8k | $348 | 9% | 163 | $3.5k – $4.2k |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN percent of total billed charges · bothfrom % of charges | 14 | $2.5k | $2.6k | $214 | 8% | 118 | $2.5k – $3.0k |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN percent of total billed charges · bothfrom % of charges | 2 | $4.6k | $4.6k | $417 | 9% | 95–104 | $4.2k – $5.0k |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 2 | $3.8k | $3.8k | $344 | 9% | 75–84 | $3.4k – $4.1k |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | 65 | $1.7k – $1.7k |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN percent of total billed charges · bothfrom % of charges | 14 | $4.2k | $4.4k | $361 | 8% | 50–68 | $4.2k – $5.0k |
| 9 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 2 | $1.1k | $1.1k | $99 | 9% | 24 | $986 – $1.2k |
| 10 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 6 | $269 | $269 | $183 | 68% | 1–10 | $85 – $452 |
| 11 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 12 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 13 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 14 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 17 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 18 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 19 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 20 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $4.3k | $4.3k | $125 | 3% | — | $4.2k – $4.4k |
| 21 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN percent of total billed charges · bothfrom % of charges | 2 | $3.8k | $3.8k | $344 | 9% | — | $3.4k – $4.1k |
| 22 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN percent of total billed charges · bothfrom % of charges | 2 | $3.4k | $3.4k | $306 | 9% | — | $3.1k – $3.7k |
| 23 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $1.9k | $1.9k | $53 | 3% | — | $1.8k – $1.9k |
| 24 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS A9502 · Snapshot 20261111T120946Z-9134e7f7