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
SODIUM PERTECHNETATE TC-99M INTRAVENOUS SOLUTION
Low
$1
Average
$106
Median
$55
High
$2.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 123.6× 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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78 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 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 6 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $289 | $289 | — | — | — | $289 – $289 |
| 12 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $149 | $149 | $1 | 1% | — | $147 – $150 |
| 13 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 14 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 18 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 19 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 20 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 21 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 22 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 23 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 24 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 25 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $195 | $195 | $5 | 3% | — | $190 – $200 |
← Payers reporting HCPCS A9512 · Snapshot 20261111T120946Z-9134e7f7