NDC 45567-0455-01
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 45 mg Recon soln 5 Each VIAL
Reported by 52 hospitals in the network under the fee schedule methodology.
Low
$37
Average
$169
Median
$80
High
$1.0k
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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. 52 hospitals; the 90th percentile is 4.9× 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 | Kaiser Foundation Hospital - Los Angeles | LOS ANGELES, CA | $58 | $71 | $19 | — | $58 | $98 |
| 2 | Kaiser Foundation Hospital - Fontana | FONTANA, CA | $58 | $71 | $19 | — | $58 | $98 |
| 3 | Kaiser Foundation Hospital - Baldwin Park | BALDWIN PARK, CA | $58 | $71 | $19 | — | $58 | $98 |
| 4 | Kaiser Foundation Hospital - Downey | Downey, CA | $58 | $71 | $19 | — | $58 | $98 |
| 5 | Kaiser Foundation Hospital - Riverside | RIVERSIDE, CA | $58 | $71 | $19 | — | $58 | $98 |
| 6 | Kaiser Foundation Hospital - West La | LOS ANGELES, CA | $58 | $71 | $19 | — | $58 | $98 |
| 7 | Kaiser Foundation Hospital - Orange County - Anaheim | Anaheim, CA | $58 | $71 | $19 | — | $58 | $98 |
| 8 | Kaiser Foundation Hospital - South Bay | HARBOR CITY, CA | $58 | $71 | $19 | — | $58 | $98 |
| 9 | Kaiser Foundation Hospital - Woodland Hills | WOODLAND HILLS, CA | $58 | $71 | $19 | — | $58 | $98 |
| 10 | Kaiser Foundation Hospital - San Diego - Zion | SAN DIEGO, CA | $58 | $71 | $19 | — | $58 | $98 |
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