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 FROM DOMESTICALLY PRODUCED NON-HEU MO-99, [MINIMUM 50 PERCENT], FULL COST RECOVERY ADD-ON, PER STUDY DOSE
Low
$1
Average
$205
Median
$10
High
$17k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
179 hospitals; the 90th percentile is 1.7× 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.
Filter by billing methodology
Filter by billing class
237 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 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | 78 | $8 – $8 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | 29 | $4 – $4 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 3 | $3 | $3 | $0 | 10% | 16 | $3 – $4 |
| 4 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 5 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 6 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 10 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $8 | $8 | $1 | 18% | — | $7 – $11 |
| 13 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $3 | 32% | — | $7 – $13 |
| 15 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS C9176 · Snapshot 20261111T120946Z-9134e7f7