NDC 09999-4084-42
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
TECHNETIUM TC 99M MEBROFENIN (UNIT DOSE) [40840063]
Based on 141–456 billing samples across every hospital reporting.
Low
$36
Average
$202
Median
$194
High
$699
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 20 hospitals; the 90th percentile is 12.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $284 | $512 | $615 | 120% | 101–173 | $24 – $2.2k |
| 2 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $265 | $699 | $691 | 99% | 22–103 | $14 – $1.8k |
| 3 | Benefis Hospitals Inc Falls, MT | $257 | $325 | $150 | 46% | 5–50 | $182 – $629 |
| 4 | Tufts Medical Center BOSTON, MA | $86 | $82 | $19 | 23% | 4–40 | $47 – $178 |
| 5 | Melrosewakefield Healthcare Melrose, MA | $35 | $36 | $45 | 124% | 3–30 | $22 – $531 |
| 6 | Methodist Lebonheur Childrens Hosp MEMPHIS, TN | $64 | $68 | $28 | 42% | 2–20 | $38 – $138 |
| 7 | Methodist University Hospital MEMPHIS, TN | $38 | $40 | $3 | 6% | 1–10 | $38 – $44 |
| 8 | Methodist Lebonheur Germantown Hosp GERMANTOWN, TN | $38 | $40 | $3 | 6% | 1–10 | $38 – $44 |
| 9 | Methodist Olive Branch Hospital OLIVE BRANCH, MS | $44 | $51 | $14 | 27% | 1–10 | $38 – $68 |
| 10 | Methodist North Hospital MEMPHIS, TN | $41 | $41 | $3 | 7% | 1–10 | $38 – $44 |
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