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
$69
Average
$256
Median
$182
High
$1.2k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
47 hospitals; the 90th percentile is 3.9× 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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53 hospital rates
iThe hospitals that file a Medical Mutual 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 | Highland District Hospital Hillsboro, OH percent of total billed charges · outpatientfrom % of charges | 2 | $579 | $579 | $273 | 47% | 1–10 | $306 – $852 |
| 2 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 3 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 5 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 6 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 7 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $74 | $74 | $16 | 21% | — | $58 – $89 |
| 8 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $74 | $74 | $16 | 21% | — | $58 – $89 |
| 9 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 10 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $647 | $647 | $19 | 3% | — | $628 – $666 |
| 11 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $647 | $647 | $19 | 3% | — | $628 – $666 |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $353 | $353 | — | — | — | $353 – $353 |
| 13 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $307 | $306 | $39 | 13% | — | $257 – $353 |
| 14 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $290 | $302 | $34 | 11% | — | $267 – $348 |
| 15 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $298 | $288 | $53 | 18% | — | $223 – $353 |
| 16 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 17 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $357 | $358 | $2 | 1% | — | $355 – $361 |
| 18 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $357 | $358 | $2 | 1% | — | $355 – $361 |
| 19 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 20 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $357 | $358 | $2 | 1% | — | $355 – $361 |
| 21 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $354 | $354 | $1 | 0% | — | $353 – $355 |
| 22 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $355 | $357 | $3 | 1% | — | $353 – $361 |
| 23 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 24 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 25 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 1 | $353 | $353 | — | — | — | $353 – $353 |
← Payers reporting HCPCS A9502 · Snapshot 20261111T120946Z-9134e7f7