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
$43
Median
$10
High
$3.3k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
357 hospitals; the 90th percentile is 7.1× 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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435 hospital rates
iThe hospitals that file a Humana 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 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 98 | $1.4k – $1.4k |
| 2 | Covenant Medical Center Inc Saginaw, MI facility · other · outpatient | 1 | $12 | $12 | — | — | 63 | $12 – $12 |
| 3 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 2 | $2.2k | $2.1k | $700 | 34% | 54–72 | $1.0k – $2.7k |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $12 | $12 | — | — | 36 | $12 – $12 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 32 | $13 – $13 |
| 6 | Southeast Health Medical Center Dothan, AL facility · other · outpatient | 1 | $10 | $10 | — | — | 22 | $10 – $10 |
| 7 | St Josephs Community Hospital of West Bend Inc West Bend, WI other · inpatient | 1 | $20 | $20 | — | — | 20 | $20 – $20 |
| 8 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 1 | $12 | $12 | — | — | 15 | $12 – $12 |
| 9 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 2 | $3.1k | $3.1k | $3 | 0% | 14–32 | $3.1k – $3.1k |
| 10 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 2 | $3.7k | $3.3k | $1.2k | 37% | 4–40 | $1.3k – $4.5k |
| 11 | Abbeville Area Medical Center Abbeville, SC facility · other · outpatient | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 12 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA other · both | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 13 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $3 | $3 | — | — | 1–10 | $3 – $3 |
| 14 | Vanderbilt Bedford Hospital Shelbyville, TN other · both | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 15 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7