Technetium-99m apcitide diagnostic imaging agent

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Tc99m apcitide

WellCare pricing summary

Low

$15

Average

$515

Median

$516

High

$1.2k

WellCare rate distribution

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27 hospital rates

#		Plans
1	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	1	$516	$516	—	—	—	$516 – $516
2	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	1	$516	$516	—	—	—	$516 – $516
3	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	1	$516	$516	—	—	—	$516 – $516
4	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	1	$507	$507	—	—	—	$507 – $507
5	Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient	1	$516	$516	—	—	—	$516 – $516
6	FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges	1	$707	$707	—	—	—	$707 – $707
7	Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient	1	$255	$255	$8	3%	—	$248 – $263
8	Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient	1	$248	$248	—	—	—	$248 – $248
9	GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient	3	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
10	Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient	1	$506	$506	—	—	—	$506 – $506
11	MaineHealth Brunswick, ME case rate · both	1	$582	$582	—	—	—	$582 – $582
12	MaineHealth Rockport, ME case rate · both	1	$521	$521	—	—	—	$521 – $521
13	MaineHealth Damariscotta, ME fee schedule · both	1	$605	$605	—	—	—	$605 – $605
14	MaineHealth North Conway, NH fee schedule · both	1	$599	$599	—	—	—	$599 – $599
15	MaineHealth Portland, ME case rate · both	1	$582	$582	—	—	—	$582 – $582
16	MaineHealth Biddeford, ME case rate · both	1	$582	$582	—	—	—	$582 – $582
17	Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient	1	$526	$526	—	—	—	$526 – $526
18	Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient	1	$516	$516	—	—	—	$516 – $516
19	Mercy Hospital Portland, ME professional · fee schedule · outpatient	1	$516	$516	—	—	—	$516 – $516
20	Novant Health Thomasville Medical Center, LLC Thomasville, NC fee schedule · outpatient	1	$258	$258	—	—	—	$258 – $258
21	Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges	1	$777	$777	—	—	—	$777 – $777
22	Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges	1	$530	$530	—	—	—	$530 – $530
23	Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient	1	$516	$516	—	—	—	$516 – $516
24	Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges	1	$15	$15	—	—	—	$15 – $15
25	The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient	1	$516	$516	—	—	—	$516 – $516