Thallium tl-201 thallous chloride, diagnostic, per millicurie
Medicare pricing data for 95 providers across 5 states
Prices vary significantly by location — from $35 in Georgia to $73 in Florida. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Thallium tl-201 thallous chloride, diagnostic, per millicurie (HCPCS code A9505) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $57.72, but hospitals typically charge $162.34 — a 2.8x 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 $57.72, your out-of-pocket cost would be approximately $11.54. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $46.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $73 | $108 | 24 | 917 | +26.6% |
| New York | $57 | $119 | 7 | 57 | -0.6% |
| California | $57 | $168 | 29 | 6,777 | -2.0% |
| Illinois | $36 | $100 | 1 | 18 | -37.9% |
| Georgia | $35 | $216 | 18 | 218 | -40.0% |
⚠️ 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