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
TC-99M DIAG PER DOSE
Elkader, IA
See all hospitals reporting HCPCS A4641 →Price type
Central Community Hospital’s median price of $424 is 23% above the median hospital's median price ($345), higher than 54% of the 583 hospitals reporting HCPCS A4641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $317 | $317 | — | — | — | $317 – $317 |
| 4 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $363 | $363 | — | — | — | $363 – $363 |
| 5 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $424 | $424 | — | — | — | $424 – $424 |
| 6 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $424 | $424 | — | — | — | $424 – $424 |
| 7 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $424 | $424 | — | — | — | $424 – $424 |
| 8 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $503 | $503 | — | — | — | $503 – $503 |
| 9 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 10 | Cigna midlands choice facility · percent of total billed charges · bothfrom % of charges | $564 | $564 | — | — | — | $564 – $564 |
| 11 | Medica midlands choice facility · percent of total billed charges · bothfrom % of charges | $564 | $564 | — | — | — | $564 – $564 |
Last updated: Mar 31, 2026
See Diagnostic radiopharmaceutical, not otherwise classified pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.