NDC 65857-0425-05
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
Technetium Tc 99m Tilmanocept 1 each Soln 1 Each
Reported by 33 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$685
Median
$776
High
$1.7k
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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. 33 hospitals; the 90th percentile is 9.9× 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 | Geisinger Community Medical Center | Scranton, PA | $1 | $1 | $0 | — | $1 | $4.0k |
| 2 | Geisinger Wyoming Valley | Wilkes-Barre, PA | $1 | $1 | $0 | — | $1 | $3.7k |
| 3 | Geisinger Medical Center | Danville, PA | $1 | $1 | $0 | — | $1 | $3.7k |
| 4 | Geisinger Lewistown Hospital | Lewistown, PA | $1 | $1 | $0 | — | $1 | $4.0k |
| 5 | Aurora Medical Center Summit | Summit, WI | $728 | $776 | $149 | — | $635 | $1.4k |
| 6 | Aurora Medical Center Grafton | Grafton, WI | $728 | $776 | $149 | — | $635 | $1.4k |
| 7 | Aurora BayCare Medical Center | Green Bay, WI | $728 | $776 | $149 | — | $635 | $1.4k |
| 8 | Aurora West Allis Medical Center | West Allis, WI | $728 | $776 | $149 | — | $635 | $1.4k |
| 9 | Aurora Medical Center Kenosha | Kenosha, WI | $728 | $776 | $149 | — | $635 | $1.4k |
| 10 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc | Milwaukee, WI | $728 | $776 | $149 | — | $635 | $1.4k |
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