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
$200
Median
$152
High
$2.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
87 hospitals; the 90th percentile is 43.1× 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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118 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $348 | $348 | — | — | 2–20 | $348 – $348 |
| 2 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $293 | $293 | — | — | 2–20 | $293 – $293 |
| 3 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $193 | $193 | — | — | 2–20 | $193 – $193 |
| 4 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $194 | $194 | — | — | 1–10 | $194 – $194 |
| 5 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $194 | $194 | — | — | 1–10 | $194 – $194 |
| 6 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 7 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 8 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $355 | $355 | — | — | 1–10 | $355 – $355 |
| 9 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $355 | $355 | — | — | 1–10 | $355 – $355 |
| 10 | Avera St. Benedicts Parkston, SD outpatient | 1 | $244 | $244 | — | — | 1–10 | $244 – $244 |
| 11 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 12 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $434 | $434 | — | — | 1–10 | $434 – $434 |
| 13 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $434 | $434 | — | — | 1–10 | $434 – $434 |
| 14 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $375 | $375 | — | — | 1–10 | $375 – $375 |
| 15 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $375 | $375 | — | — | 1–10 | $375 – $375 |
| 16 | Platte Healthcare Platte, SD outpatient | 1 | $298 | $298 | — | — | 1–10 | $298 – $298 |
| 17 | Platte Healthcare Platte, SD percent of total billed charges · outpatientfrom % of charges | 1 | $301 | $301 | — | — | 1–10 | $301 – $301 |
| 18 | Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $137 | $137 | $55 | 40% | 1–10 | $82 – $192 |
| 19 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $130 | $130 | $62 | 48% | 1–10 | $68 – $192 |
| 20 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $71 | $71 | — | — | — | $71 – $71 |
| 21 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 22 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 24 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 25 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $279 | $279 | — | — | — | $279 – $279 |
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