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
$9
High
$5.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
402 hospitals; the 90th percentile is 43.7× 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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559 hospital rates
iThe hospitals that file a Cigna 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 | Vanderbilt University Medical Center Nashville, TN other · both | 5 | $0 | $0 | — | — | 103–121 | $0 – $0 |
| 2 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 4 | $3.9k | $3.7k | $2.1k | 58% | 35–62 | $628 – $6.4k |
| 3 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 26 | $4.5k – $4.5k |
| 4 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 3 | $3.1k | $2.8k | $1.8k | 64% | 21–48 | $113 – $5.0k |
| 5 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 3 | $3.2k | $3.0k | $1.9k | 62% | 19–46 | $278 – $5.4k |
| 6 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 2 | $3.2k | $3.2k | $372 | 12% | 12–21 | $2.8k – $3.6k |
| 7 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | $1.6k | 85% | 12–21 | $278 – $3.5k |
| 8 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | $0 | 21% | 12–21 | $1 – $1 |
| 9 | Southeast Health Medical Center Dothan, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 2–20 | $13 – $13 |
| 10 | Vanderbilt Wilson County Hospital Lebanon, TN other · both | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 11 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 12 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 13 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 14 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 1 | $789 | $789 | — | — | 1–10 | $789 – $789 |
| 15 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 1 | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 16 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 17 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | $2 | 40% | 1–10 | $3 – $6 |
| 18 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $5 | $6 | $3 | 51% | 1–10 | $3 – $10 |
| 19 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $6 | $7 | $3 | 47% | 1–10 | $3 – $10 |
| 20 | Northwestern Memorial Hospital Chicago, IL other · outpatient | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 21 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $9 | $9 | $4 | 44% | 1–10 | $3 – $13 |
| 22 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | 1–10 | $225 – $225 |
| 23 | PARKWEST MEDICAL CENTER Knoxville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 24 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 25 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 4 | $6 | $6 | $1 | 23% | 1–10 | $4 – $8 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7