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
$66
Median
$10
High
$6.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
784 hospitals; the 90th percentile is 6.8× 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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1,102 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Southeast Health Medical Center Dothan, AL facility · other · outpatient | 1 | $20 | $20 | — | — | 1,145 | $20 – $20 |
| 2 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $10 | $10 | $0 | 3% | 506–524 | $10 – $11 |
| 3 | Massachusetts General Hospital Boston, MA other · both | 1 | $10 | $10 | — | — | 317 | $10 – $10 |
| 4 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $28 | $27 | $5 | 20% | 243 | $13 – $37 |
| 5 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | $1.5k | 34% | 214 | $2.9k – $5.8k |
| 6 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $10 | $10 | — | — | 195 | $10 – $10 |
| 7 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $20 | $20 | — | — | 192 | $20 – $20 |
| 8 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | $311 | 7% | 134 | $4.2k – $4.8k |
| 9 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 2 | $28 | $28 | $8 | 28% | 109–118 | $20 – $36 |
| 10 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | $563 | 13% | 99 | $3.7k – $4.8k |
| 11 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | $495 | 13% | 97 | $3.3k – $4.3k |
| 12 | St Josephs Community Hospital of West Bend Inc West Bend, WI other · inpatient | 3 | $21 | $33 | $18 | 54% | 96–114 | $20 – $58 |
| 13 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 3 | $1.4k | $1.4k | — | — | 92–101 | $1.4k – $1.4k |
| 14 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | $1.4k | 34% | 92 | $2.8k – $5.6k |
| 15 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 5 | $8 | $7 | $2 | 30% | 91–109 | $3 – $8 |
| 16 | Brigham and Women's Hospital Boston, MA other · both | 1 | $10 | $10 | — | — | 88 | $10 – $10 |
| 17 | Newton Wellesley Hospital Newton, MA other · both | 1 | $10 | $10 | — | — | 70 | $10 – $10 |
| 18 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | $1.2k | 26% | 67 | $3.5k – $5.8k |
| 19 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 49 | $13 – $13 |
| 20 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $10 | $10 | — | — | 48 | $10 – $10 |
| 21 | Salem Hospital Salem, MA other · both | 1 | $10 | $10 | — | — | 48 | $10 – $10 |
| 22 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 38% | 46 | $0 – $1 |
| 23 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 45 | $22 – $22 |
| 24 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | 33 | $1 – $1 |
| 25 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN other · both | 3 | $10 | $10 | — | — | 32 | $10 – $10 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7