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 PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION
Reported by 45 hospitals in the network under the percent of billed charges methodology.
Based on 173–380 billing samples across every hospital reporting.
Low
$60
Average
$1.6k
Median
$298
High
$6.2k
Filter by billing methodology
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. 45 hospitals; the 90th percentile is 70.8× 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 | Deaconess Health System Henderson Hospital | Henderson, KY | $70 | $71 | $26 | 73–109 | $23 | $743 |
| 2 | Deaconess Health System Gibson General Hospital | Princeton, IN | $92 | $77 | $28 | 57–93 | $29 | $105 |
| 3 | Hendrick Medical Center | Abilene, TX | $256 | $298 | $148 | 21–84 | $110 | $543 |
| 4 | Hendrick Medical Center | Abilene, TX | $256 | $298 | $148 | 21–84 | $110 | $543 |
| 5 | Deaconess Regional Healthcare Services Illinois Inc | Marion, IL | $73 | $76 | $29 | 1–10 | $11 | $176 |
| 6 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center | Murray, UT | $291 | $264 | $76 | — | $5 | $364 |
| 7 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital | Provo, UT | $291 | $267 | $73 | — | $6 | $364 |
| 8 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital | Ogden, UT | $291 | $267 | $76 | — | $4 | $404 |
| 9 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital | St. George, UT | $279 | $265 | $49 | — | $6 | $294 |
| 10 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital | Salt Lake City, UT | $291 | $266 | $74 | — | $5 | $364 |
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