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
$44
Median
$13
High
$2.2k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
69 hospitals; the 90th percentile is 34.3× 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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88 hospital rates
iThe hospitals that file a Highmark 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 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 48 | $21 – $21 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $13 | $14 | $5 | 35% | — | $6 – $22 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $17 | $17 | $5 | 31% | — | $10 – $23 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $12 | $14 | $5 | 34% | — | $6 – $21 |
| 6 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 7 | $44 | $29 | $17 | 57% | — | $8 – $44 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $13 | $15 | $5 | 35% | — | $10 – $22 |
| 8 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Ephrata Community Hospital Ephrata, PA fee schedule · outpatient | 8 | $37 | $28 | $14 | 51% | — | $8 – $46 |
| 10 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 17 | $14 | $16 | $6 | 40% | — | $8 – $24 |
| 11 | Gettysburg Hospital Gettysburg, PA fee schedule · outpatient | 8 | $35 | $31 | $18 | 57% | — | $8 – $58 |
| 12 | Good Samaritan Hospital Lebanon, PA fee schedule · outpatient | 6 | $23 | $21 | $11 | 51% | — | $8 – $36 |
| 13 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $13 | $13 | $4 | 30% | — | $5 – $19 |
| 17 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 41% | — | $0 – $1 |
| 19 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 20 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 23 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 24 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7