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 30 hospitals in the network under the other methodology.
Based on 13–130 billing samples across every hospital reporting.
Low
$71
Average
$126
Median
$80
High
$449
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 30 hospitals; the 90th percentile is 3.8× 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 Gibson General Hospital | Princeton, IN | $155 | $169 | $30 | 5–50 | $95 | $341 |
| 2 | Deaconess Health System Henderson Hospital | Henderson, KY | $131 | $145 | $24 | 4–40 | $53 | $636 |
| 3 | MultiCare Yakima Valley Memorial Hospital Association | Yakima, WA | $335 | $335 | — | 2–20 | $192 | $349 |
| 4 | Deaconess Regional Healthcare Services Illinois Inc | Marion, IL | $449 | $449 | — | 1–10 | $78 | $1.2k |
| 5 | Deaconess Illinois Union County Hospital Inc | Anna, IL | $168 | $168 | — | 1–10 | $59 | $251 |
| 6 | Kaiser Foundation Hospital - Roseville | ROSEVILLE, CA | $65 | $80 | $21 | — | $65 | $110 |
| 7 | Kaiser Foundation Hospital - Santa Clara | SANTA CLARA, CA | $65 | $80 | $21 | — | $65 | $110 |
| 8 | Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $65 | $80 | $21 | — | $65 | $110 |
| 9 | Kaiser Foundation Hospital - Modesto | 95356, CA | $65 | $80 | $21 | — | $65 | $110 |
| 10 | Kaiser Foundation Hospital - South Sacramento | SACRAMENTO, CA | $65 | $80 | $21 | — | $65 | $110 |
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