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
$10
Median
$11
High
$12
Each hospital's average Clover rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 4.6× 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.
Filter by billing methodology
Filter by billing class
29 hospital rates
iThe hospitals that file a Clover 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 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 10 | Hilton Head Medical Center LLC Hilton Head Island, SC percent of total billed charges · bothfrom % of charges | 2 | $3 | $3 | $2 | 88% | — | $0 – $5 |
| 11 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Jersey City Medical Center Jersey City, NJ fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | Monmouth Medical Center Long Branch, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Monmouth Medical Center Southern Campus Lakewood, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Newark Beth Israel Medical Center Newark, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 23 | Robert Wood Johnson University Hospital Rahway Rahway, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | Robert Wood Johnson University Hospital Somerset Somerville, NJ fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 25 | South Carolina Coastal Medical Center LLC Hardeeville, SC percent of total billed charges · bothfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7