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NDC 9999910739

TC-99M SULFUR COLLOID FILTERED DX PER STUDY DOSE =<20 MCI

Reported by 20 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 5–50 billing samples across every hospital reporting.

Low

$278

Average

$365

Median

$371

High

$474

Hospitals reporting this code

#HospitalLocationApproximate 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.
1Commonspirit Kansas, Inc.Garden City, KS$481$415$1473–30$205$583
2Catholic Health Initiatives ColoradoColorado Springs, CO$240$290$1202–20$142$529
3Catholic Health Initiatives ColoradoSalt Lake City, UT$326$376$110—$215$601
4Catholic Health Initiatives ColoradoColorado Springs, CO$287$320$125—$153$529
5Catholic Health Initiatives ColoradoLehi, UT$325$374$110—$215$601
6St Francis HospitalColorado Springs, CO$240$278$107—$142$511
7Longmont United HospitalLongmont, CO$240$335$313—$142$1.9k
8Catholic Health Initiatives ColoradoFrisco, CO$361$380$133—$163$553
9Commonspirit Kansas, Inc.Ulysses, KS$491$406$163—$192$571
10Commonspirit Kansas, Inc.Dodge City, KS$481$441$104—$204$541
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Look up this code directly

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