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
$36
Average
$225
Median
$174
High
$4.7k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
233 hospitals; the 90th percentile is 5.3× 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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341 hospital rates
iThe hospitals that file a Medica 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 12 | $519 | $467 | $98 | 21% | 7–70 | $272 – $530 |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 4 | $131 | $118 | $26 | 22% | 1–10 | $72 – $136 |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 4 | $131 | $118 | $26 | 22% | 1–10 | $72 – $136 |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $131 | $118 | $26 | 22% | 1–10 | $72 – $136 |
| 5 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 4 | $131 | $118 | $26 | 22% | 1–10 | $72 – $136 |
| 6 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $819 | $819 | $335 | 41% | 1–10 | $484 – $1.2k |
| 7 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $278 | $278 | $27 | 10% | 1–10 | $251 – $305 |
| 8 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $182 | $182 | $14 | 8% | 1–10 | $168 – $196 |
| 9 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 4 | $125 | $120 | $16 | 13% | 1–10 | $94 – $136 |
| 10 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $119 | $119 | $46 | 39% | 1–10 | $73 – $165 |
| 11 | Lakeview Hospital Stillwater, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $134 | $134 | $28 | 21% | 1–10 | $105 – $162 |
| 12 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $513 | $474 | $87 | 18% | 1–10 | $281 – $530 |
| 13 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 7 | $513 | $474 | $87 | 18% | 1–10 | $281 – $530 |
| 14 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 8 | $502 | $494 | $37 | 8% | 1–10 | $402 – $530 |
| 15 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 4 | $516 | $512 | $13 | 2% | 1–10 | $491 – $525 |
| 16 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $473 | $473 | $211 | 45% | 1–10 | $262 – $684 |
| 17 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $161 | $87 | 54% | 1–10 | $75 – $248 |
| 18 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | 1–10 | $158 – $158 |
| 19 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 1–10 | $188 – $188 |
| 20 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | 1–10 | $156 – $156 |
| 21 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | 1–10 | $156 – $156 |
| 22 | Northfield Hospital Northfield, MN fee schedule · both | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 23 | SAINT CROIX REGIONAL MEDICAL CENTER SAINT CROIX FALLS, WI other · both | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 24 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 4 | $124 | $114 | $25 | 21% | 1–10 | $73 – $136 |
| 25 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · outpatient | 4 | $112 | $109 | $24 | 22% | 1–10 | $78 – $136 |
← Payers reporting HCPCS A9537 · Snapshot 20261111T120946Z-9134e7f7