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]
Low
$1
Average
$243
Median
$139
High
$1.4k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 18 hospitals; the 90th percentile is 17.3× 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 | $444 | $809 | $685 | 85% | 80–134 | $24 – $2.2k |
| 2 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $1.6k | $1.4k | $536 | 38% | 17–53 | $14 – $1.8k |
| 3 | Methodist Lebonheur Childrens Hosp MEMPHIS, TN | $64 | $66 | $29 | 45% | 1–10 | $38 – $138 |
| 4 | Benefis Hospitals Inc Falls, MT | $629 | $595 | $84 | 14% | — | $347 – $629 |
| 5 | Methodist University Hospital MEMPHIS, TN | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Methodist Lebonheur Germantown Hosp GERMANTOWN, TN | $38 | $38 | — | — | — | $38 – $44 |
| 7 | Methodist South Hospital MEMPHIS, TN | $38 | $38 | — | — | — | $38 – $44 |
| 8 | Methodist Olive Branch Hospital OLIVE BRANCH, MS | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Methodist North Hospital MEMPHIS, TN | $38 | $38 | — | — | — | $38 – $44 |
| 10 | McLeod Health Manning, SC | $189 | $189 | $55 | 29% | — | $64 – $263 |
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