A9502

Technetium tc-99m tetrofosmin, diagnostic, per study dose

Medicare pricing data for 4,093 providers across 43 states

🤖AI Overview

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

$33.73

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.

Average Allowed Cost
$168.66
Average Hospital Charge
$365.23
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$365.23
Medicare Allowed$168.66
Medicare Payment$134.28

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$456$4632274+170.2%
Arkansas$420$8733480+149.0%
Florida$351$53959163,820+107.9%
Wisconsin$347$429322,308+105.9%
New York$329$37026733,931+95.3%
Illinois$268$3649312,711+59.0%
Connecticut$220$23836706+30.5%
Massachusetts$191$232473,939+13.0%
Rhode Island$175$2165235+3.9%
Utah$146$1571157-13.2%
New Jersey$141$34820112,646-16.5%
Colorado$139$30926685-17.3%
Ohio$126$284182,090-25.1%
Iowa$120$1573139-28.7%
Pennsylvania$117$4971747,699-30.6%
South Carolina$114$29713217,227-32.4%
Alabama$113$20415913,142-32.9%
Georgia$113$33827131,907-32.9%
Minnesota$112$30311148-33.4%
North Carolina$111$2851129,059-34.5%
Tennessee$110$28415811,473-34.5%
Nebraska$110$764261,929-35.0%
Kansas$110$2254711,862-35.0%
Virginia$109$29413714,619-35.4%
Indiana$109$2226793-35.6%
Michigan$108$24510310,538-35.8%
Missouri$106$31810988-37.1%
Maryland$97$26415619,218-42.6%
Mississippi$96$398514,808-42.8%
Montana$96$2401454-42.8%
Arizona$96$28316027,565-43.3%
California$95$40835643,858-43.5%
Washington$95$297823,752-43.9%
Nevada$94$35813638-44.3%
Texas$93$39846532,521-44.6%
Louisiana$84$326392,797-50.0%
New Mexico$74$4313946-56.4%
Oklahoma$68$23015270-59.7%
Kentucky$68$242253,329-59.9%
District of Columbia$66$341231,632-61.0%
Delaware$61$384172,895-64.0%
Oregon$60$144121,265-64.3%
Wyoming$49$275160-70.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber