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; DIAGNOSTIC; AEROSOL; PER STUDY DOSE; UP TO 75 MILLICURIES
Low
$0
Average
$340
Median
$116
High
$2.6k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 127 hospitals; the 90th percentile is 39.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV | $160 | $160 | $50 | 32% | 6–60 | $109 – $210 |
| 2 | Herbert J Thomas Memorial Hospital Association South Charleston, WV | $210 | $210 | — | — | 2–20 | $34 – $210 |
| 3 | Cumberland County Hospital System Inc Fayetteville, NC | $204 | $204 | — | — | 2–20 | $53 – $204 |
| 4 | Weirton Medical Center Inc Weirton, WV | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 5 | Allina Health Systems Shakopee, MN | $110 | $105 | $41 | 39% | 1–10 | $11 – $154 |
| 6 | Allina Health Systems Cambridge, MN | $104 | $98 | $43 | 44% | 1–10 | $11 – $154 |
| 7 | Allina Health Systems Buffalo, MN | $104 | $98 | $43 | 44% | 1–10 | $11 – $154 |
| 8 | Allina Health Systems Owatonna, MN | $104 | $98 | $43 | 44% | 1–10 | $11 – $154 |
| 9 | Allina Health Systems Faribault, MN | $104 | $98 | $43 | 44% | 1–10 | $11 – $154 |
| 10 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $266 | $266 | — | — | 1–10 | $55 – $364 |
Ask Claude or any MCP client for HCPCS A9567 pricing at a specific hospital — see how to connect.