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
$6
Average
$33
Median
$10
High
$180
Each hospital's average Optum rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 6.1× 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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40 hospital rates
iThe hospitals that file a Optum 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 fee schedule · both | 6 | $10 | $10 | — | — | 36 | $10 – $10 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 4 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 13 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 20 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 21 | Fairview Hospital Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 24 | Key West HMA LLC FL 33040; 1200 Kennedy Dr. Key West, FL facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
← Payers reporting HCPCS C9176 · Snapshot 20261111T120946Z-9134e7f7