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
$32
Median
$10
High
$902
Each hospital's average Optum rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 1.7× 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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55 hospital rates
iThe hospitals that file a Optum 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $10 | $10 | $0 | 1% | — | $10 – $10 |
| 6 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 2 | $10 | $10 | $0 | 4% | — | $10 – $11 |
| 18 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 19 | Fairview Hospital Cleveland, OH facility · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · fee schedule · outpatient | 2 | $9 | $9 | $1 | 11% | — | $8 – $10 |
| 22 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA other · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7