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
$0
Average
$143
Median
$130
High
$279
Each hospital's average Bcbs Mn rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 12.3× 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 Bcbs Mn 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 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 3 | $92 | $108 | $34 | 31% | 3–30 | $77 – $154 |
| 2 | Allina Health Systems Shakopee, MN facility · other · outpatient | 2 | $257 | $257 | $30 | 12% | 2–20 | $227 – $286 |
| 3 | Allina Health Systems Owatonna, MN facility · other · outpatient | 2 | $257 | $257 | $30 | 12% | 2–20 | $227 – $286 |
| 4 | Allina Health Systems Cambridge, MN facility · other · outpatient | 2 | $257 | $257 | $30 | 12% | 2–20 | $227 – $286 |
| 5 | Allina Health Systems Faribualt, MN facility · other · outpatient | 2 | $257 | $257 | $30 | 12% | 2–20 | $227 – $286 |
| 6 | Allina Health Systems Buffalo, MN facility · other · outpatient | 2 | $257 | $257 | $30 | 12% | 2–20 | $227 – $286 |
| 7 | Fairview Health Services Edina, MN other · inpatient | 1 | $60 | $60 | — | — | 2–20 | $60 – $60 |
| 8 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $60 | $60 | — | — | 2–20 | $60 – $60 |
| 9 | Allina Health Systems Ulm, MN facility · other · outpatient | 4 | $287 | $269 | $115 | 43% | 1–10 | $93 – $407 |
| 10 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $58 | $58 | — | — | 1–10 | $58 – $58 |
| 11 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 1 | $58 | $58 | — | — | 1–10 | $58 – $58 |
| 12 | Sanford Canby Medical Center Canby, MN percent of total billed charges · outpatientfrom % of charges | 4 | $142 | $130 | $52 | 40% | 1–10 | $54 – $182 |
| 13 | Sanford Jackson Hospital Jackson, MN percent of total billed charges · outpatientfrom % of charges | 4 | $130 | $130 | $65 | 50% | 1–10 | $54 – $206 |
| 14 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 5 | $172 | $173 | $51 | 29% | — | $85 – $229 |
| 15 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 4 | $167 | $159 | $48 | 30% | — | $85 – $217 |
| 16 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 17 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 3 | $247 | $218 | $94 | 43% | — | $92 – $317 |
| 18 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 4 | $167 | $159 | $48 | 30% | — | $85 – $217 |
| 19 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 20 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 4 | $58 | $57 | $4 | 7% | — | $53 – $62 |
| 22 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 3 | $41 | $34 | $10 | 30% | — | $20 – $42 |
| 23 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $35 | $11 | 30% | — | $20 – $43 |
| 24 | Fairview Health Services Edina, MN fee schedule · both | 4 | $58 | $57 | $4 | 7% | — | $53 – $62 |
| 25 | Fairview Health Services Edina, MN fee schedule · outpatient | 3 | $207 | $168 | $57 | 34% | — | $87 – $211 |
← Payers reporting HCPCS A9537 · Snapshot 20261111T120946Z-9134e7f7