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
$14
Median
$10
High
$26
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 7.0× 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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28 hospital rates
iThe hospitals that file a Phcs 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 | Athens Hospital, LLC Athens, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Carthage Hospital, LLC Carthage, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Deaconess Illinois Union County Hospital Inc Anna, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Deaconess Illinois Union County Hospital Inc Anna, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Henderson Hospital, LLC Henderson, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | Jacksonville Hospital, LLC Jacksonville, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 22 | North Adams Regional Hospital North Adams, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | North Adams Regional Hospital North Adams, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
← Payers reporting HCPCS C9176 · Snapshot 20261111T120946Z-9134e7f7