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 OXIDRONATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES
Low
$6
Average
$298
Median
$97
High
$1.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 28.1× 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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53 hospital rates
iThe hospitals that file a Tricare 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 3 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 5 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $57 | $57 | $1 | 1% | — | $57 – $58 |
| 8 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 9 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $461 | $461 | — | — | — | $461 – $461 |
| 11 | Hemet Global Medical Center Hemet, CA professional · fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 12 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · percent of total billed charges · bothfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 14 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 15 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 16 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 17 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 18 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 19 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 20 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 21 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 22 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 23 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 24 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 25 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
← Payers reporting HCPCS A9561 · Snapshot 20261111T120946Z-9134e7f7