NDC 11994-0003-20
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
Kit for Preparation of Technetium Tc 99m Sestamibi
Reported by 7 hospitals in the network under the fee schedule methodology.
Low
$79
Average
$2.0k
Median
$743
High
$4.3k
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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. 7 hospitals; the 90th percentile is 44.5× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Stony Brook University Hospital | Stony Brook, NY | $4.3k | $4.3k | — | — | $4.3k | $4.3k |
| 2 | Deaconess Hospital, Inc | Newburgh, IN | $743 | $743 | — | — | $29 | $743 |
| 3 | Deaconess Health System Henderson Hospital | Henderson, KY | $423 | $423 | $320 | — | $23 | $743 |
| 4 | Little Company of Mary Hospital of Indiana Inc | Jasper, IN | $102 | $102 | — | — | $23 | $102 |
| 5 | University Hospitals Health System | Cleveland, OH | $4.1k | $4.1k | — | — | $2.2k | $7.3k |
| 6 | University Hospitals Health System | Ashland, OH | $4.1k | $4.1k | — | — | $2.8k | $7.3k |
| 7 | Shelby County Memorial Hospital Assocation | Sidney, OH | $79 | $79 | — | — | $79 | $628 |
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