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
$6
Median
$6
High
$16
Each hospital's average Medica rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 14.7× 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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65 hospital rates
iThe hospitals that file a Medica 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 | Jefferson County Hospital OK Waurika, OK percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 3 | $5 | $5 | $0 | 2% | — | $5 – $5 |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 3 | $5 | $5 | $0 | 2% | — | $5 – $5 |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 3 | $5 | $5 | $0 | 2% | — | $5 – $5 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $5 | $5 | $0 | 2% | — | $5 – $5 |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 3 | $5 | $5 | $0 | 2% | — | $5 – $5 |
| 13 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $0 | 6% | — | $5 – $5 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 6% | — | $3 – $4 |
| 18 | Central Iowa Hospital Corporation West Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $0 | 6% | — | $3 – $3 |
| 19 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 21 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Duncan Regional Hospital Duncan, OK percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7