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
Non-Heu Tc-99m Add-on per Dose
Low
$0
Average
$49
Median
$10
High
$3.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
582 hospitals; the 90th percentile is 31.9× 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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851 hospital rates
iThe hospitals that file a Aetna 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 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | 164 | $9 – $9 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 158 | $1 – $1 |
| 3 | Massachusetts General Hospital Boston, MA other · both | 1 | $10 | $10 | — | — | 148 | $10 – $10 |
| 4 | Covenant Medical Center Inc Saginaw, MI facility · other · outpatient | 1 | $20 | $20 | — | — | 79 | $20 – $20 |
| 5 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | 71 | $18 – $18 |
| 6 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 66 | $1 – $1 |
| 7 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 66 | $1 – $1 |
| 8 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 56 | $1 – $1 |
| 9 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $85 | 89% | 53 | $10 – $181 |
| 10 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 51 | $1 – $1 |
| 11 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 7% | 49–58 | $1 – $1 |
| 12 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 47 | $1 – $1 |
| 13 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $10 | $10 | — | — | 44 | $10 – $10 |
| 14 | Newton Wellesley Hospital Newton, MA other · both | 1 | $10 | $10 | — | — | 42 | $10 – $10 |
| 15 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | 41 | $10 – $10 |
| 16 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $5 | $5 | $2 | 31% | 40–49 | $3 – $7 |
| 17 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $85 | 89% | 37 | $10 – $181 |
| 18 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 2 | $194 | $194 | $184 | 95% | 35–44 | $10 – $379 |
| 19 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $4 | $5 | $4 | 66% | 33 | $3 – $13 |
| 20 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $85 | 89% | 30–39 | $10 – $181 |
| 21 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $4 | $5 | $2 | 39% | 29–47 | $2 – $7 |
| 22 | Brigham and Women's Hospital Boston, MA other · both | 1 | $10 | $10 | — | — | 28 | $10 – $10 |
| 23 | The Presbyterian Hospital Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $85 | 89% | 28 | $10 – $181 |
| 24 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 2 | $1 | $0 | $0 | 31% | 21–30 | $0 – $1 |
| 25 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $2.1k | $1.6k | 77% | 20–38 | $278 – $4.2k |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7