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
$0
Average
$10
Median
$10
High
$13
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
67 hospitals; the 90th percentile is 1.1× 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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67 hospital rates
iThe hospitals that file a WellCare 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 | $1 | $1 | — | — | 332 | $1 – $1 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 97 | $1 – $1 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $11 | $11 | $0 | 2% | — | $11 – $11 |
| 4 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Boston Medical Center Boston, MA other · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Illinois Union County Hospital Inc Anna, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | $0 | 11% | — | $0 – $0 |
| 12 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 2 | $13 | $13 | $2 | 19% | — | $10 – $15 |
| 14 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Harborview Medical Center Seattle, WA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS C9176 · Snapshot 20261111T120946Z-9134e7f7