Technetium tc-99m tetrofosmin, diagnostic, per study dose
Medicare pricing data for 4,093 providers across 43 states
Prices vary significantly by location — from $49 in Wyoming to $456 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS code A9502) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $168.66, but hospitals typically charge $365.23 — a 2.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $168.66, your out-of-pocket cost would be approximately $33.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $134.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $456 | $463 | 2 | 274 | +170.2% |
| Arkansas | $420 | $873 | 3 | 480 | +149.0% |
| Florida | $351 | $539 | 591 | 63,820 | +107.9% |
| Wisconsin | $347 | $429 | 32 | 2,308 | +105.9% |
| New York | $329 | $370 | 267 | 33,931 | +95.3% |
| Illinois | $268 | $364 | 93 | 12,711 | +59.0% |
| Connecticut | $220 | $238 | 36 | 706 | +30.5% |
| Massachusetts | $191 | $232 | 47 | 3,939 | +13.0% |
| Rhode Island | $175 | $216 | 5 | 235 | +3.9% |
| Utah | $146 | $157 | 1 | 157 | -13.2% |
| New Jersey | $141 | $348 | 201 | 12,646 | -16.5% |
| Colorado | $139 | $309 | 26 | 685 | -17.3% |
| Ohio | $126 | $284 | 18 | 2,090 | -25.1% |
| Iowa | $120 | $157 | 3 | 139 | -28.7% |
| Pennsylvania | $117 | $497 | 174 | 7,699 | -30.6% |
| South Carolina | $114 | $297 | 132 | 17,227 | -32.4% |
| Alabama | $113 | $204 | 159 | 13,142 | -32.9% |
| Georgia | $113 | $338 | 271 | 31,907 | -32.9% |
| Minnesota | $112 | $303 | 11 | 148 | -33.4% |
| North Carolina | $111 | $285 | 112 | 9,059 | -34.5% |
| Tennessee | $110 | $284 | 158 | 11,473 | -34.5% |
| Nebraska | $110 | $764 | 26 | 1,929 | -35.0% |
| Kansas | $110 | $225 | 47 | 11,862 | -35.0% |
| Virginia | $109 | $294 | 137 | 14,619 | -35.4% |
| Indiana | $109 | $222 | 6 | 793 | -35.6% |
| Michigan | $108 | $245 | 103 | 10,538 | -35.8% |
| Missouri | $106 | $318 | 10 | 988 | -37.1% |
| Maryland | $97 | $264 | 156 | 19,218 | -42.6% |
| Mississippi | $96 | $398 | 51 | 4,808 | -42.8% |
| Montana | $96 | $240 | 1 | 454 | -42.8% |
| Arizona | $96 | $283 | 160 | 27,565 | -43.3% |
| California | $95 | $408 | 356 | 43,858 | -43.5% |
| Washington | $95 | $297 | 82 | 3,752 | -43.9% |
| Nevada | $94 | $358 | 13 | 638 | -44.3% |
| Texas | $93 | $398 | 465 | 32,521 | -44.6% |
| Louisiana | $84 | $326 | 39 | 2,797 | -50.0% |
| New Mexico | $74 | $431 | 3 | 946 | -56.4% |
| Oklahoma | $68 | $230 | 15 | 270 | -59.7% |
| Kentucky | $68 | $242 | 25 | 3,329 | -59.9% |
| District of Columbia | $66 | $341 | 23 | 1,632 | -61.0% |
| Delaware | $61 | $384 | 17 | 2,895 | -64.0% |
| Oregon | $60 | $144 | 12 | 1,265 | -64.3% |
| Wyoming | $49 | $275 | 1 | 60 | -70.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber