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
TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KIT (WBC)
Low
$0
Average
$2.5k
Median
$1.6k
High
$17.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1133 hospitals; the 90th percentile is 5.6× 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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1,759 hospital rates
iThe hospitals that file a Aetna 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 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | 1–10 | $29 – $29 |
| 2 | Jersey City Medical Center Jersey City, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 3 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 2 | $1.2k | $1.2k | $266 | 23% | 1–10 | $915 – $1.4k |
| 4 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 4 | $2.5k | $2.4k | $524 | 22% | 1–10 | $1.6k – $2.8k |
| 5 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $1.9k | $1.9k | $837 | 45% | — | $1.0k – $2.7k |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $3.7k | $3.1k | $1.6k | 51% | — | $934 – $4.7k |
| 7 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · inpatient | 2 | $1.8k | $1.8k | $740 | 40% | — | $1.1k – $2.6k |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $1.8k | $1.8k | $740 | 40% | — | $1.1k – $2.6k |
| 10 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $1.9k | $1.9k | $772 | 42% | — | $1.1k – $2.6k |
| 11 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2.3k | $2.0k | $911 | 45% | — | $397 – $2.8k |
| 12 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 16 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 17 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 18 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $2.9k | $2.9k | $1.9k | 67% | — | $934 – $4.8k |
| 19 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 20 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 21 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 22 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 23 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 24 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 25 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $934 | $934 | — | — | — | $934 – $934 |
← Payers reporting HCPCS A9569 · Snapshot 20261111T120946Z-9134e7f7