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
KIT PREPARATION OF TC-99M-SODIUM PYROPHOSPHATE 12 MG IV SOLUTION
Low
$17
Average
$284
Median
$201
High
$3.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 6.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 445 | $67 | $125 | $353 | 283% | 4–40 | $1 – $7.1k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 218 | $122 | $176 | $210 | 120% | 2–20 | $1 – $1.7k |
| 3 | Kaiser fee schedule · both · +18 other terms | 47 | $64 | $62 | $40 | 65% | 1–10 | $20 – $682 |
| 4 | Cigna fee schedule · outpatient · +20 other terms | 246 | $122 | $239 | $307 | 128% | — | $0 – $1.7k |
| 5 | Aetna fee schedule · outpatient · +27 other terms | 121 | $146 | $249 | $328 | 132% | — | $1 – $1.5k |
| 6 | Humana fee schedule · outpatient · +21 other terms | 94 | $192 | $241 | $172 | 71% | — | $1 – $1.2k |
| 7 | Anthem fee schedule · outpatient · +23 other terms | 90 | $76 | $109 | $148 | 136% | — | $4 – $1.8k |
| 8 | MultiPlan fee schedule · outpatient · +14 other terms | 64 | $182 | $250 | $167 | 67% | — | $40 – $880 |
| 9 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms | 44 | $197 | $223 | $175 | 78% | — | $46 – $741 |
| 10 | First Health fee schedule · inpatient · +16 other terms | 30 | $204 | $262 | $167 | 64% | — | $52 – $754 |
| 11 | Molina fee schedule · outpatient · +22 other terms | 25 | $90 | $77 | $42 | 55% | — | $1 – $174 |
| 12 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 25 | $38 | $47 | $33 | 70% | — | $13 – $153 |
| 13 | Bcbs Tx fee schedule · outpatient · +4 other terms | 20 | $216 | $201 | $54 | 27% | — | $85 – $285 |
| 14 | Highmark facility · fee schedule · outpatient · +15 other terms | 19 | $84 | $171 | $114 | 67% | — | $50 – $517 |
| 15 | Medica fee schedule · outpatient · +15 other terms | 19 | $138 | $145 | $38 | 26% | — | $33 – $191 |
| 16 | WellCare professional · fee schedule · outpatient · +14 other terms | 18 | $25 | $22 | $4 | 17% | — | $16 – $25 |
| 17 | Excellus facility · fee schedule · both · +9 other terms | 17 | $56 | $43 | $22 | 52% | — | $16 – $75 |
| 18 | Premera facility · fee schedule · both · +8 other terms | 17 | $56 | $49 | $20 | 41% | — | $16 – $75 |
| 19 | Regence facility · fee schedule · both · +13 other terms | 17 | $56 | $49 | $20 | 42% | — | $16 – $75 |
| 20 | Carefirst facility · fee schedule · both · +8 other terms | 16 | $56 | $50 | $20 | 41% | — | $16 – $75 |
| 21 | Phcs fee schedule · outpatient · +11 other terms | 16 | $130 | $205 | $128 | 63% | — | $76 – $396 |
| 22 | Wellmark facility · fee schedule · both · +12 other terms | 16 | $56 | $50 | $20 | 41% | — | $16 – $75 |
| 23 | Ambetter other · outpatient · +13 other terms | 15 | $1.5k | $1.4k | $299 | 21% | — | $87 – $1.8k |
| 24 | Caresource fee schedule · outpatient · +14 other terms | 15 | $34 | $47 | $47 | 98% | — | $1 – $177 |
| 25 | Medicaid fee schedule · outpatient · +9 other terms | 15 | $112 | $363 | $833 | 229% | — | $1 – $3.5k |
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