NDC 52579-1600-05
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 THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION
Reported by 15 hospitals in the network under the fee schedule methodology.
Low
$229
Average
$1.2k
Median
$1.2k
High
$1.3k
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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. 15 hospitals; the 90th percentile is 1.1× 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 | Cleveland Clinic Mercy Hospital Canton, OH | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Lutheran Hospital Cleveland, OH | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Marymount Hospital Inc Garfield Heights, OH | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Cleveland Clinic Health System - East Region Euclid, OH | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Medina Hospital Medina, OH | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Cleveland Clinic Health System - East Region Warrensville Heights, OH | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Cleveland Clinic Avon Hospital Avon, OH | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Fairview Health Services Minneapolis, MN | $1.0k | $1.3k | $507 | 40% | — | $299 – $1.9k |
| 9 | Fairview Health Services Edina, MN | $1.4k | $1.3k | $545 | 41% | — | $288 – $2.0k |
| 10 | Fairview Health Services Burnsville, MN | $1.4k | $1.3k | $545 | 41% | — | $288 – $2.0k |
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