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
Tc99m fanolesomab
Low
$1
Average
$2.5k
Median
$1.1k
High
$17.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
71 hospitals; the 90th percentile is 52.4× 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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76 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $2.2k | $2.2k | $1 | 0% | — | $2.2k – $2.2k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $1.7k | $1.7k | $216 | 12% | — | $1.5k – $2.1k |
| 5 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 7 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 11 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $795 | $795 | — | — | — | $795 – $795 |
| 12 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · inpatientfrom % of charges | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $3.1k | $3.1k | $1.3k | 41% | — | $1.9k – $4.4k |
| 16 | Centennial Hills Las Vegas, NV case rate · both | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 17 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 18 | Childrens Hospital of Orange County - Profit Orange, CA facility · fee schedule · outpatient | 1 | $914 | $914 | — | — | — | $914 – $914 |
| 19 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Corona Regional Medical Center Corona, CA fee schedule · both | 1 | $858 | $858 | — | — | — | $858 – $858 |
| 21 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $795 | $795 | — | — | — | $795 – $795 |
| 22 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 23 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 24 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 25 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
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