Technetium-99m radioactive tracer dose, domestic low-enriched uranium source

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

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

Kaiser pricing summary

Low

$10

Average

$22

Median

$12

High

$79

Kaiser rate distribution

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30 hospital rates

#		Plans
1	BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges	1	$12	$12	—	—	—	$12 – $12
2	Boulder Community Health Lafayette, CO facility · case rate · outpatient	3	$19	$18	$6	36%	—	$10 – $24
3	CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
4	CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
5	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
6	CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
7	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
8	CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
9	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
10	CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
11	COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
12	COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
13	Good Samaritan Hospital Puyallup, WA fee schedule · outpatient	1	$46	$46	—	—	—	$46 – $46
14	Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges	1	$12	$12	—	—	—	$12 – $12
15	KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Honolulu, HI facility · percent of total billed charges · outpatientfrom % of charges	1	$18	$18	—	—	—	$18 – $18
16	LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
17	Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient	1	$79	$79	—	—	—	$79 – $79
18	MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient	1	$46	$46	—	—	—	$46 – $46
19	MultiCare Covington Medical Center Covington, WA fee schedule · outpatient	1	$46	$46	—	—	—	$46 – $46
20	MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
21	MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
22	MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient	2	$19	$19	$8	43%	—	$11 – $28
23	ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
24	PALI MOMI MEDICAL CENTER Aiea, HI facility · percent of total billed charges · outpatientfrom % of charges	1	$16	$16	—	—	—	$16 – $16
25	STRAUB CLINIC & HOSPITAL Honolulu, HI facility · percent of total billed charges · outpatientfrom % of charges	1	$16	$16	—	—	—	$16 – $16