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 tc99m arcitumomab
Low
$760
Average
$1.1k
Median
$850
High
$4.1k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 2.2× 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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47 hospital rates
iThe hospitals that file a Devoted 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 | Banner Desert Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $850 | $850 | — | — | — | $850 – $850 |
| 2 | Banner Gateway Medical Center Gilbert, AZ facility · fee schedule · outpatient | 1 | $850 | $850 | — | — | — | $850 – $850 |
| 3 | Banner Thunderbird Medical Center Glendale, AZ facility · fee schedule · outpatient | 1 | $850 | $850 | — | — | — | $850 – $850 |
| 4 | Banner University Medical Center Phoenix Phoenix, AZ facility · fee schedule · outpatient | 1 | $850 | $850 | — | — | — | $850 – $850 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $858 | $858 | — | — | — | $858 – $858 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 7 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 9 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 10 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 11 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 12 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $858 | $858 | — | — | — | $858 – $858 |
| 13 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $842 | $842 | — | — | — | $842 – $842 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 17 | Longs Peak Hospital Longmont, CO fee schedule · outpatient | 1 | $810 | $810 | — | — | — | $810 – $810 |
| 18 | Medical Center of the Rockies Loveland, CO fee schedule · outpatient | 1 | $810 | $810 | — | — | — | $810 – $810 |
| 19 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $760 | $760 | — | — | — | $760 – $760 |
| 21 | Poudre Valley Health Care, Inc Fort Collins, CO fee schedule · outpatient | 1 | $810 | $810 | — | — | — | $810 – $810 |
| 22 | Santa Rosa Emergency Center - Alon San Antonio, TX fee schedule · outpatient | 1 | $821 | $821 | — | — | — | $821 – $821 |
| 23 | Santa Rosa Emergency Center - Creekside New Braunfels, TX fee schedule · outpatient | 1 | $847 | $847 | — | — | — | $847 – $847 |
| 24 | Santa Rosa Hospital - Alamo Heights San Antonio, TX fee schedule · outpatient | 1 | $821 | $821 | — | — | — | $821 – $821 |
| 25 | Santa Rosa Hospital - New Braunfels New Braunfels, TX fee schedule · outpatient | 1 | $847 | $847 | — | — | — | $847 – $847 |
← Payers reporting HCPCS A9568 · Snapshot 20261112T124536Z-e251e855