Technetium-99m pertechnetate 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

SODIUM PERTECHNETATE TC-99M INTRAVENOUS SOLUTION

Tricare pricing summary

Low

Average

$132

Median

$43

High

$1.2k

Tricare rate distribution

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67 hospital rates

#		Plans
1	Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
2	CORNING HOSPITAL Corning, NY facility · other · outpatient	1	$38	$38	—	—	—	$38 – $38
3	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$466	$466	—	—	—	$466 – $466
4	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$466	$466	—	—	—	$466 – $466
5	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$7	$7	—	—	—	$7 – $7
6	Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient	1	$77	$77	—	—	—	$77 – $77
7	Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient	1	$14	$14	—	—	—	$14 – $14
8	Dukes Health System LLC Peru, IN facility · fee schedule · outpatient	1	$191	$191	$3	1%	—	$188 – $193
9	Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient	1	$3	$3	—	—	—	$3 – $3
10	GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient	1	$43	$43	—	—	—	$43 – $43
11	HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges	1	$163	$163	—	—	—	$163 – $163
12	HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$151	$151	—	—	—	$151 – $151
13	HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$2	$2	—	—	—	$2 – $2
14	Hackettstown Medical Center Hackettstown, NJ other · outpatient	2	$466	$466	—	—	—	$466 – $466
15	Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient	1	$461	$461	—	—	—	$461 – $461
16	Hemet Global Medical Center Hemet, CA professional · fee schedule · outpatient	1	$300	$300	—	—	—	$300 – $300
17	Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges	1	$105	$105	—	—	—	$105 – $105
18	Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges	1	$106	$106	—	—	—	$106 – $106
19	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$139	$139	$5	3%	—	$134 – $143
20	Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
21	KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges	1	$2	$2	—	—	—	$2 – $2
22	MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges	1	$15	$15	—	—	—	$15 – $15
23	MCLAREN THUMB REGION AXE, MI fee schedule	1	$50	$50	—	—	—	$50 – $50
24	McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges	1	$1.2k	$1.2k	$267	22%	—	$537 – $1.9k
25	MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$90	$90	—	—	—	$90 – $90