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
$43
Median
$1
High
$353
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 354.7× 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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61 hospital rates
iThe hospitals that file a Phcs 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 3 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 12 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $347 | $347 | $5 | 1% | — | $342 – $351 |
| 18 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 19 | Hilton Head Medical Center LLC Hilton Head Island, SC percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | $7 | 88% | — | $1 – $14 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Medical Park Hospital LLC Winston-Salem, NC fee schedule · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 23 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7