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
$25
Median
$10
High
$351
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
248 hospitals; the 90th percentile is 57.4× 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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358 hospital rates
iThe hospitals that file a MultiPlan 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 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 3 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 4 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 18 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 19 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7