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
$16
Average
$208
Median
$73
High
$1.5k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
102 hospitals; the 90th percentile is 6.3× 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.
Filter by billing methodology
Filter by billing class
127 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $65 | $65 | $7 | 11% | — | $57 – $72 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $65 | $65 | $7 | 11% | — | $57 – $72 |
| 3 | Beebe Medical Center Inc. Lewes, DE facility · fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 4 | Boone Memorial Hospital Madison, WV other · both | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 2 | $42 | $42 | $26 | 62% | — | $16 – $69 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $48 | $48 | — | — | — | $48 – $48 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $65 | $65 | $7 | 11% | — | $57 – $72 |
| 8 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $65 | $65 | $7 | 11% | — | $57 – $72 |
| 9 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $101 | $85 | $32 | 38% | — | $30 – $108 |
| 11 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $87 | $87 | — | — | — | $87 – $87 |
| 13 | Davis Medical Center Elkins, WV professional · fee schedule · both | 2 | $43 | $43 | $26 | 60% | — | $17 – $69 |
| 14 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 4 | $69 | $69 | $4 | 6% | — | $65 – $73 |
| 15 | Fox Chase Cancer Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $47 | $1 | 1% | — | $46 – $47 |
| 16 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $65 | $65 | $7 | 11% | — | $57 – $72 |
| 17 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 11 | $65 | $65 | $7 | 11% | — | $57 – $72 |
| 18 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $354 | $354 | — | — | — | $354 – $354 |
| 23 | Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both | 1 | $59 | $59 | $6 | 10% | — | $53 – $65 |
| 24 | Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both | 1 | $59 | $59 | $6 | 10% | — | $53 – $65 |
| 25 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both | 1 | $59 | $59 | $6 | 10% | — | $53 – $65 |
← Payers reporting HCPCS A9538 · Snapshot 20261111T120946Z-9134e7f7