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
$544
Median
$14
High
$23.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
98 hospitals; the 90th percentile is 5.2× 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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116 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | 2–20 | $10 – $10 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $6 | $6 | $1 | 12% | — | $5 – $7 |
| 7 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 5 | $18 | $19 | $6 | 30% | — | $13 – $29 |
| 9 | Boston Medical Center Brighton Boston, MA other · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Boston Medical Center South Brockton, MA other · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Bronson Battle Creek Hospital Battle Creek, MI facility · fee schedule · outpatient | 2 | $8 | $8 | $2 | 29% | — | $5 – $10 |
| 12 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $14 | $23 | $16 | 68% | — | $10 – $46 |
| 14 | Bronson Methodist Hospital Kalamazoo, MI facility · fee schedule · outpatient | 2 | $8 | $8 | $2 | 29% | — | $5 – $10 |
| 15 | Bronson South Haven Hospital South Haven, MI facility · fee schedule · outpatient | 2 | $8 | $8 | $2 | 29% | — | $5 – $10 |
| 16 | Bronson South Haven Hospital South Haven, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 17 | Bronson South Haven Hospital South Haven, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 18 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Chesapeake General Hospital Chesapeake, VA facility · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 7 | $1.9k | $1.9k | $382 | 20% | — | $1.4k – $2.4k |
| 21 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 2 | $16 | $16 | $4 | 23% | — | $13 – $20 |
| 23 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $6 | $6 | $1 | 8% | — | $6 – $7 |
← Payers reporting HCPCS C9176 · Snapshot 20261111T120946Z-9134e7f7