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
$101
High
$4703.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1291 hospitals; the 90th percentile is 14.6× 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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1,898 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 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 5 | $208 | $225 | $35 | 15% | 2–20 | $208 – $295 |
| 2 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $70 | $70 | — | — | 2–20 | $70 – $70 |
| 3 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $70 | $70 | — | — | 2–20 | $70 – $70 |
| 4 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 2 | $128 | $128 | — | — | 2–20 | $128 – $128 |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $161 | — | — | 2–20 | $161 – $161 |
| 6 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $873 | $952 | $322 | 34% | 2–20 | $548 – $1.3k |
| 7 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $873 | $952 | $322 | 34% | 2–20 | $548 – $1.3k |
| 8 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $335 | $335 | — | — | 1–10 | $335 – $335 |
| 9 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $59 | $91 | $45 | 50% | 1–10 | $59 – $155 |
| 10 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 11 | 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 |
| 12 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 13 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 2 | $78 | $78 | — | — | — | $78 – $78 |
| 14 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 15 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 3 | $191 | $188 | $5 | 2% | — | $182 – $191 |
| 16 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 2 | $78 | $78 | — | — | — | $78 – $78 |
| 17 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 18 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $371 | $371 | $10 | 3% | — | $361 – $380 |
| 19 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 20 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 21 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $69 | $69 | — | — | — | $69 – $69 |
| 22 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting HCPCS A9539 · Snapshot 20261111T120946Z-9134e7f7