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
TC-99M APCITIDE UP TO 20 MCI
Low
$0
Average
$1.4k
Median
$574
High
$12.0k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 27.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northside Hospital, Inc. Lawrenceville, GA | $402 | $579 | $419 | 72% | — | $217 – $1.7k |
| 2 | Northside Hospital, Inc. Atlanta, GA | $402 | $600 | $421 | 70% | — | $233 – $1.7k |
| 3 | University Medical Center of Southern Nevada Las Vegas, NV | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Nationwide Children's Hospital Columbus, OH | $199 | $199 | — | — | — | $199 – $199 |
| 5 | Guthrie Cortland Medical Center Cortland, NY | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Glendale Adventist Medical Center Glendale, CA | $1.9k | $1.9k | $664 | 35% | — | $1.1k – $2.7k |
| 7 | The Methodist Hospitals, Inc. Gary, IN | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Northside Hospital, Inc. Cumming, GA | $402 | $571 | $445 | 78% | — | $174 – $1.7k |
| 9 | Presence Chicago Hospitals Network Chicago, IL | $941 | $901 | $56 | 6% | — | $823 – $941 |
| 10 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $148 | $147 | $1 | 0% | — | $146 – $148 |
Ask Claude or any MCP client for HCPCS A9504 pricing at a specific hospital — see how to connect.