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
NM Tc99m Myoview per Study Dose
Smith, AR
See all hospitals reporting HCPCS A9502 →Price type
Mercy Hospital Fort Smith’s median price of $184 is 13% below the median hospital's median price ($211), higher than 42% of the 1,702 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 2 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 5 | Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 6 | Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 7 | Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges | $154 | $154 | — | — | — | $154 – $154 |
| 8 | Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 9 | Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 10 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $246 | $246 | — | — | — | $246 – $246 |
| 11 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $261 | $261 | — | — | — | $261 – $261 |
Last updated: Jun 8, 2026
See Technetium-99m tetrofosmin imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.