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 PENTETATE FOR BRAIN DEATH IDENTIFICATION
Low
$0
Average
$3.9k
Median
$165
High
$3689.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1034 hospitals; the 90th percentile is 17.4× 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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1,560 hospital rates
iThe hospitals that file a Aetna 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 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $263 | $263 | — | — | 2–20 | $263 – $263 |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $218 | $218 | — | — | 2–20 | $218 – $218 |
| 3 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 4 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $289 | — | — | 1–10 | $289 – $289 |
| 5 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $289 | — | — | 1–10 | $289 – $289 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 7 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $10.4k | $10.4k | — | — | 1–10 | $10.4k – $10.4k |
| 8 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $698 | $698 | — | — | 1–10 | $698 – $698 |
| 9 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 10 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $373 | $373 | $53 | 14% | — | $320 – $426 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $136 | $141 | $73 | 52% | — | $52 – $240 |
| 15 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 16 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 20 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · bothfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 21 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 22 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · bothfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 23 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 24 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · bothfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 25 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
← Payers reporting HCPCS A9539 · Snapshot 20261111T120946Z-9134e7f7