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
$47
Median
$10
High
$3.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
187 hospitals; the 90th percentile is 13.6× 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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196 hospital rates
iThe hospitals that file a WellCare 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 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | — | — | 26 | $141 – $141 |
| 2 | Vanderbilt University Medical Center Nashville, TN other · both | 2 | $11 | $11 | — | — | 26 | $11 – $11 |
| 3 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 2 | $3 | $5 | $3 | 69% | 23 | $3 – $10 |
| 4 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 5 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 6 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 7 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 8 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 1–10 | $54 – $54 |
| 9 | Vanderbilt Bedford Hospital Shelbyville, TN other · both | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 10 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN other · both | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 11 | Vanderbilt Wilson County Hospital Lebanon, TN other · both | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 12 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS Q9969 · Snapshot 20261111T120946Z-9134e7f7