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
$87
Median
$15
High
$4.7k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 39.0× 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.
Filter by billing methodology
Filter by billing class
101 hospital rates
iThe hospitals that file a Ambetter 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 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 26 | $1 – $1 |
| 2 | PARKWEST MEDICAL CENTER Knoxville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 18 | $1 – $1 |
| 3 | PARKWEST MEDICAL CENTER Louisville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 18 | $1 – $1 |
| 4 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 15 | $1 – $1 |
| 5 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 12 | $1 – $1 |
| 6 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 7 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 8 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 9 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 10 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 11 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 12 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 13 | ROANE COUNTY MEDICAL CENTER Harriman, TN percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 14 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 25 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7