Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
Medicare pricing data for 1,163 providers across 39 states
Prices vary significantly by location — from $9 in Puerto Rico to $121 in Maryland. 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
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries (HCPCS code A9537) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $43.35, but hospitals typically charge $142.10 — a 3.3x 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 $43.35, your out-of-pocket cost would be approximately $8.67. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $34.35 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $121 | $211 | 36 | 134 | +180.1% |
| Iowa | $62 | $103 | 7 | 35 | +43.2% |
| Wyoming | $62 | $69 | 6 | 22 | +42.8% |
| California | $62 | $197 | 87 | 516 | +42.8% |
| Michigan | $62 | $105 | 8 | 53 | +42.1% |
| Massachusetts | $62 | $251 | 6 | 142 | +41.9% |
| Indiana | $61 | $499 | 7 | 35 | +39.6% |
| Idaho | $60 | $194 | 2 | 27 | +38.7% |
| Nebraska | $60 | $96 | 14 | 70 | +37.5% |
| Virginia | $59 | $88 | 11 | 40 | +36.3% |
| Kansas | $59 | $88 | 32 | 99 | +35.8% |
| Oregon | $59 | $72 | 15 | 37 | +35.3% |
| Kentucky | $58 | $533 | 12 | 25 | +34.8% |
| Washington | $58 | $119 | 33 | 87 | +34.0% |
| New Mexico | $58 | $131 | 7 | 17 | +33.3% |
| Arizona | $58 | $196 | 48 | 378 | +33.1% |
| Tennessee | $57 | $108 | 64 | 318 | +32.5% |
| Georgia | $57 | $104 | 26 | 97 | +32.0% |
| Minnesota | $57 | $214 | 20 | 38 | +31.3% |
| Utah | $57 | $95 | 9 | 29 | +30.5% |
| North Carolina | $56 | $122 | 46 | 201 | +30.1% |
| Connecticut | $54 | $99 | 13 | 55 | +25.6% |
| Missouri | $53 | $90 | 18 | 127 | +23.2% |
| South Carolina | $52 | $92 | 3 | 31 | +19.7% |
| Alabama | $51 | $61 | 34 | 84 | +18.6% |
| New York | $51 | $119 | 74 | 435 | +17.8% |
| New Jersey | $50 | $112 | 55 | 172 | +14.9% |
| Ohio | $47 | $133 | 14 | 69 | +7.9% |
| Nevada | $45 | $64 | 42 | 205 | +4.7% |
| Illinois | $44 | $102 | 31 | 179 | +1.7% |
| Texas | $40 | $173 | 87 | 494 | -7.6% |
| Mississippi | $38 | $263 | 20 | 63 | -11.4% |
| Louisiana | $38 | $143 | 5 | 13 | -12.3% |
| Colorado | $34 | $61 | 9 | 45 | -21.8% |
| Wisconsin | $31 | $88 | 11 | 28 | -29.2% |
| Pennsylvania | $30 | $151 | 17 | 62 | -29.7% |
| Arkansas | $23 | $60 | 7 | 23 | -47.6% |
| Florida | $9 | $125 | 202 | 1,455 | -78.4% |
| Puerto Rico | $9 | $98 | 7 | 24 | -78.4% |
⚠️ 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