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
Tc99m apcitide
Low
$15
Average
$1.9k
Median
$400
High
$12.8k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 21.8× 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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9 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $230 | $230 | — | — | — | $230 – $230 |
| 2 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 4 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 5 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 6 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $777 | $777 | — | — | — | $777 – $777 |
| 7 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $530 | $530 | — | — | — | $530 – $530 |
| 8 | St. Joseph Health System, LLC Wayne, IN facility · other · outpatient | 1 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 9 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting HCPCS A9504 · Snapshot 20261111T120946Z-9134e7f7