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
$57
Average
$236
Median
$146
High
$2.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 4.4× 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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84 hospital rates
iThe hospitals that file a Wellmark 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 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $730 | $730 | — | — | 64 | $730 – $730 |
| 2 | Avera Flandreau Hospital Flandreau, SD outpatient | 1 | $672 | $672 | — | — | 1–10 | $672 – $672 |
| 3 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $487 | $487 | — | — | 1–10 | $487 – $487 |
| 4 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $401 | $401 | — | — | 1–10 | $401 – $401 |
| 5 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $401 | $401 | — | — | 1–10 | $401 – $401 |
| 6 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $793 | $793 | — | — | 1–10 | $793 – $793 |
| 7 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $791 | $791 | — | — | 1–10 | $791 – $791 |
| 8 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $85 | $85 | — | — | — | $85 – $85 |
| 9 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $81 | $81 | — | — | — | $81 – $81 |
| 10 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $97 | $97 | — | — | — | $97 – $97 |
| 11 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · inpatientfrom % of charges | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 12 | Avera Milbank Hospital Milbank, SD percent of total billed charges · inpatientfrom % of charges | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 13 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 14 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $791 | $791 | — | — | — | $791 – $791 |
| 15 | Avera St. Benedicts Parkston, SD percent of total billed charges · inpatientfrom % of charges | 1 | $462 | $462 | — | — | — | $462 – $462 |
| 16 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $462 | $462 | — | — | — | $462 – $462 |
| 17 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 18 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $97 | $97 | — | — | — | $97 – $97 |
| 19 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $97 | $97 | — | — | — | $97 – $97 |
| 20 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $97 | $97 | — | — | — | $97 – $97 |
| 21 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $363 | $363 | — | — | — | $363 – $363 |
| 22 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 23 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 24 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 25 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $410 | $410 | — | — | — | $410 – $410 |
← Payers reporting HCPCS A9502 · Snapshot 20261111T120946Z-9134e7f7