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
TECHNETIUM TC-99M MEBROFENIN, DIAGNOSTIC, PER STUDY DOSE, UP TO 15 MILLICURIES
Low
$8
Average
$623
Median
$121
High
$54.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
406 hospitals; the 90th percentile is 9.8× 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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683 hospital rates
iThe hospitals that file a Anthem 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 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $150 | $150 | $43 | 28% | 516 | $107 – $193 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 2 | $170 | $170 | $62 | 37% | 376 | $107 – $232 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $151 | $151 | $43 | 29% | 360 | $107 – $194 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 179 | $107 – $107 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 158 | $50 – $50 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 158 | $107 – $107 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 62 | $107 – $107 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 2 | $163 | $163 | $56 | 34% | 62 | $107 – $219 |
| 9 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 1 | $67 | $67 | — | — | 29 | $67 – $67 |
| 10 | Appalachian Regional Healthcare, Inc. Middlesboro, KY fee schedule · outpatient | 1 | $67 | $67 | — | — | 23 | $67 – $67 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $461 | $474 | $144 | 30% | 15–24 | $293 – $682 |
| 12 | Norton Kings Daughters Health Inc Madison, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $234 | $234 | — | — | 12 | $234 – $234 |
| 13 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $134 | $134 | — | — | 4–40 | $134 – $134 |
| 14 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 1 | $267 | $267 | $0 | 0% | 2–20 | $267 – $268 |
| 15 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | 2–20 | $268 – $268 |
| 16 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | $0 | 0% | 2–20 | $267 – $268 |
| 17 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | $0 | 0% | 2–20 | $267 – $268 |
| 18 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | 2–20 | $268 – $268 |
| 19 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $267 | $267 | $1 | 0% | 2–20 | $266 – $268 |
| 20 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | 2–20 | $268 – $268 |
| 21 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 4 | $106 | $112 | $26 | 23% | 2–20 | $86 – $152 |
| 22 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 2 | $152 | $152 | $22 | 15% | 2–20 | $130 – $174 |
| 23 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 5 | $84 | $95 | $46 | 48% | 2–20 | $52 – $175 |
| 24 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 2 | $181 | $181 | $64 | 35% | 2–20 | $117 – $245 |
| 25 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · outpatient | 5 | $211 | $199 | $140 | 70% | 2–20 | $45 – $405 |
← Payers reporting HCPCS A9537 · Snapshot 20261111T120946Z-9134e7f7