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
$9
Average
$12
Median
$10
High
$33
Each hospital's average Bcbs Tx rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 2.3× 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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29 hospital rates
iThe hospitals that file a Bcbs Tx 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 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Mother Frances Hospital - South Tyler Tyler, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Mother Frances Hospital - Sulphur Springs Sulphur Springs, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Mother Frances Hospital - Tyler Tyler, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Mother Frances Hospital - Tyler Tyler, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Santa Rosa Emergency Center - Alon San Antonio, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Santa Rosa Hospital - Alamo Heights San Antonio, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Santa Rosa Hospital - Westover Hills San Antonio, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $33 | — | — | — | $33 – $33 |
| 14 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $33 | — | — | — | $33 – $33 |
| 15 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $33 | — | — | — | $33 – $33 |
| 16 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $33 | — | — | — | $33 – $33 |
| 17 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $33 | — | — | — | $33 – $33 |
| 18 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $33 | — | — | — | $33 – $33 |
| 19 | Southeast Texas - Jasper Memorial Jasper, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Southeast Texas Orthopedic Specialty Center Port Arthur, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | Spohn Hospital Alice Alice, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | Spohn Hospital Beeville Beeville, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | Spohn Hospital Corpus Christi - South Corpus Christi, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Spohn Hospital Corpus Christi - South Corpus Christi, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7