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
$2.4k
Median
$10
High
$70.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
209 hospitals; the 90th percentile is 55.2× 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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342 hospital rates
iThe hospitals that file a Anthem 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 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 2 | $1.4k | $1.4k | — | — | 106–115 | $1.4k – $1.4k |
| 2 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 2 | $1 | $1 | $0 | 43% | 46–55 | $0 – $1 |
| 3 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | $0 | 21% | 46–55 | $0 – $1 |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $12 | $12 | — | — | 30 | $12 – $12 |
| 5 | St Josephs Community Hospital of West Bend Inc West Bend, WI other · inpatient | 1 | $20 | $20 | — | — | 11 | $20 – $20 |
| 6 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · inpatientfrom % of charges | 2 | $41 | $41 | $4 | 9% | 2–20 | $37 – $44 |
| 7 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | $13 | 26% | 2–20 | $37 – $63 |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 2 | $41 | $41 | $4 | 9% | 2–20 | $38 – $45 |
| 9 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $54 | $9 | 17% | 2–20 | $45 – $64 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $2 | 39% | 1–10 | $4 – $9 |
| 12 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 13 | Eskenazi Health Indianapolis, IN facility · case rate · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 14 | Norton Kings Daughters Health Inc Madison, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 15 | St Josephs Community Hospital of West Bend Inc West Bend, WI percent of total billed charges · inpatientfrom % of charges | 2 | $41 | $41 | $4 | 9% | 1–10 | $37 – $44 |
| 16 | St Josephs Community Hospital of West Bend Inc West Bend, WI percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | $13 | 26% | 1–10 | $37 – $63 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $8 | $8 | $2 | 22% | — | $6 – $10 |
| 19 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $100.0k | $100.0k | — | — | — | $100.0k – $100.0k |
| 20 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 6 | $10 | $11 | $2 | 17% | — | $10 – $15 |
| 23 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $7 | $1 | 15% | — | $6 – $9 |
| 25 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7