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
$0
Average
$181
Median
$104
High
$7.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1221 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.
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1,767 hospital rates
iThe hospitals that file a UnitedHealthcare 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 Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $233 | $261 | $205 | 79% | 2–20 | $52 – $524 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 3 | $108 | $108 | — | — | 2–20 | $108 – $108 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $130 | $132 | $2 | 2% | 2–20 | $130 – $134 |
| 4 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · inpatientfrom % of charges | 2 | $32 | $32 | — | — | 2–20 | $32 – $32 |
| 5 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $40 | — | — | 2–20 | $40 – $40 |
| 6 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $280 | $286 | $22 | 8% | 2–20 | $235 – $307 |
| 7 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $280 | $286 | $22 | 8% | 2–20 | $235 – $307 |
| 8 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $788 | $788 | $495 | 63% | 2–20 | $293 – $1.3k |
| 9 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 5 | $131 | $142 | $22 | 15% | 1–10 | $131 – $185 |
| 10 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 1 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 11 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 3 | $130 | $132 | $2 | 2% | 1–10 | $130 – $134 |
| 12 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 13 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 14 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 15 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 16 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 17 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $64 | $64 | — | — | 1–10 | $64 – $64 |
| 18 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 19 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO fee schedule · outpatient | 1 | $797 | $797 | — | — | 1–10 | $797 – $797 |
| 20 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $451 | $451 | — | — | 1–10 | $451 – $451 |
| 21 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $451 | $451 | — | — | 1–10 | $451 – $451 |
| 22 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 2 | $108 | $108 | — | — | — | $108 – $108 |
| 24 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 25 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $341 | $341 | $9 | 3% | — | $332 – $350 |
← Payers reporting HCPCS A9538 · Snapshot 20261111T120946Z-9134e7f7