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
$1
Average
$164
Median
$116
High
$2.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
358 hospitals; the 90th percentile is 7.3× 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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439 hospital rates
iThe hospitals that file a Molina 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 | 1 | $48 | $48 | — | — | 43 | $48 – $48 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 30 | $35 – $35 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | 18 | $39 – $39 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | 11 | $39 – $39 |
| 5 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | $37 | 62% | 2–20 | $22 – $96 |
| 6 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 7 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 8 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | 1–10 | $69 – $69 |
| 9 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 10 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 11 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 12 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | 1–10 | $39 – $39 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 15 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | 1–10 | $113 – $113 |
| 16 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $64 | $64 | — | — | 1–10 | $64 – $64 |
| 17 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 18 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 19 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $131 | $131 | — | — | 1–10 | $131 – $131 |
| 20 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $131 | $131 | — | — | 1–10 | $131 – $131 |
| 21 | Deaconess Health System Henderson Hospital Henderson, KY professional · other · both | 1 | $131 | $131 | — | — | 1–10 | $131 – $131 |
| 22 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 23 | Loring Hospital Sac City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | — | — | 1–10 | $175 – $175 |
| 24 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 25 | Pocahontas Community Hospital Pocahontas, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $163 | $163 | $20 | 12% | 1–10 | $143 – $183 |
← Payers reporting HCPCS A9537 · Snapshot 20261111T120946Z-9134e7f7