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
$32
Average
$173
Median
$175
High
$501
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 20 hospitals; the 90th percentile is 6.0× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $151 | $130 | $44 | 34% | 21–39 | $24 – $159 |
| 2 | Benefis Hospitals Inc Falls, MT | $252 | $249 | $18 | 7% | 5–50 | $182 – $271 |
| 3 | Tufts Medical Center BOSTON, MA | $86 | $82 | $19 | 23% | 4–40 | $47 – $178 |
| 4 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $134 | $266 | $385 | 145% | 4–40 | $14 – $1.3k |
| 5 | Melrosewakefield Healthcare Melrose, MA | $35 | $32 | $8 | 24% | 3–30 | $22 – $531 |
| 6 | Methodist University Hospital MEMPHIS, TN | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 7 | Methodist Lebonheur Germantown Hosp GERMANTOWN, TN | $44 | $44 | — | — | 1–10 | $38 – $44 |
| 8 | Methodist Olive Branch Hospital OLIVE BRANCH, MS | $68 | $60 | $12 | 19% | 1–10 | $44 – $68 |
| 9 | Methodist Lebonheur Childrens Hosp MEMPHIS, TN | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 10 | Methodist North Hospital MEMPHIS, TN | $44 | $44 | — | — | 1–10 | $38 – $44 |
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