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
$146
Median
$14
High
$4.1k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 273.1× 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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67 hospital rates
iThe hospitals that file a Caresource 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 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 12 | $2.4k – $2.4k |
| 2 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 3 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · outpatient | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 4 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 5 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 1 | $498 | $498 | — | — | 1–10 | $498 – $498 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 33% | — | $1 – $1 |
| 8 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 14 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | $0 | 27% | — | $0 – $1 |
| 17 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 18 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 19 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $53 | $53 | $11 | 20% | — | $42 – $64 |
| 20 | Defiance Hospital Inc Defiance, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Defiance Hospital Inc Defiance, OH professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 23 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $13 | $13 | $3 | 20% | — | $10 – $15 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7