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
$1
Average
$62
Median
$8
High
$1.4k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 3.7× 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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31 hospital rates
iThe hospitals that file a Medicare 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 | Massachusetts General Hospital Boston, MA other · both | 1 | $10 | $10 | — | — | 2,112 | $10 – $10 |
| 2 | Newton Wellesley Hospital Newton, MA other · both | 1 | $10 | $10 | — | — | 767 | $10 – $10 |
| 3 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $10 | $10 | — | — | 446 | $10 – $10 |
| 4 | Brigham and Women's Hospital Boston, MA other · both | 1 | $10 | $10 | — | — | 404 | $10 – $10 |
| 5 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 348 | $1 – $1 |
| 6 | Cooley Dickinson Hospital Northampton, MA other · both | 1 | $10 | $10 | — | — | 266 | $10 – $10 |
| 7 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $10 | $10 | — | — | 198 | $10 – $10 |
| 8 | Salem Hospital Salem, MA other · both | 1 | $10 | $10 | — | — | 176 | $10 – $10 |
| 9 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 2 | $1.4k | $1.4k | — | — | 81–90 | $1.4k – $1.4k |
| 10 | COMMONSPIRIT KANSAS, INC. Garden City, KS other · inpatient | 1 | $20 | $20 | — | — | 22 | $20 – $20 |
| 11 | COMMONSPIRIT KANSAS, INC. Garden City, KS other · outpatient | 1 | $20 | $20 | — | — | 22 | $20 – $20 |
| 12 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO other · inpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 13 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO other · outpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · outpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · inpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · outpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · outpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · outpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 22 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 24 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7