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 99 Exametazine(Ceretec)Vial
Low
$1
Average
$1.8k
Median
$902
High
$6.7k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 128.5× 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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57 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 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 6 | $2.4k | $2.4k | $1.6k | 68% | — | $750 – $4.0k |
| 2 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $928 | $928 | — | — | — | $928 – $928 |
| 6 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
| 7 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $454 | $454 | — | — | — | $454 – $454 |
| 9 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 10 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 17 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $791 | $791 | — | — | — | $791 – $791 |
| 18 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA other · both | 1 | $928 | $928 | — | — | — | $928 – $928 |
| 19 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 20 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
| 21 | Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · fee schedule · outpatient | 1 | $722 | $722 | — | — | — | $722 – $722 |
| 22 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $445 | $445 | — | — | — | $445 – $445 |
| 23 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 24 | Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient | 2 | $535 | $535 | $187 | 35% | — | $348 – $722 |
| 25 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $535 | $535 | $187 | 35% | — | $348 – $722 |
← Payers reporting HCPCS A9521 · Snapshot 20261111T120946Z-9134e7f7