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
$32
Median
$12
High
$2.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
347 hospitals; the 90th percentile is 7.1× 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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411 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 3 | $141 | $112 | $42 | 38% | 222 | $52 – $141 |
| 2 | Wentworth Douglass Hospital Dover, NH other · both | 4 | $37 | $33 | $15 | 45% | 127 | $10 – $47 |
| 3 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $120 | $132 | $16 | 12% | 115–124 | $120 – $155 |
| 4 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 3 | $365 | $274 | $130 | 47% | 105–114 | $90 – $365 |
| 5 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $220 | $174 | $65 | 37% | 83–92 | $82 – $220 |
| 6 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL other · outpatient | 1 | $9 | $9 | — | — | 39 | $9 – $9 |
| 7 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $167 | $167 | — | — | 32 | $167 – $167 |
| 8 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 1 | $9 | $9 | — | — | 30 | $9 – $9 |
| 9 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $9 | $9 | $1 | 8% | 24–33 | $8 – $10 |
| 10 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 1 | $10 | $10 | — | — | 12 | $10 – $10 |
| 11 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | 4–40 | $26 – $26 |
| 12 | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS HIGHLAND, IL percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | 4–40 | $52 – $52 |
| 13 | PARKWEST MEDICAL CENTER Knoxville, TN percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $5 | $5 | 112% | 3–30 | $1 – $12 |
| 14 | The Presbyterian Hospital Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 3 | $258 | $192 | $93 | 49% | 3–30 | $60 – $258 |
| 15 | CLAIBORNE MEDICAL CENTER Tazewell, TN percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $0 | 0% | 2–20 | $21 – $21 |
| 16 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | — | — | 2–20 | $1 – $1 |
| 17 | Abbeville Area Medical Center Abbeville, SC facility · other · outpatient | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 18 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 19 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 20 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 21 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 22 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 23 | Northwestern Medicine Valley West Hospital Sandwich, IL percent of total billed charges · outpatientfrom % of charges | 8 | $8 | $7 | $3 | 41% | 1–10 | $1 – $11 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7